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[外伤性上皮内生和上皮性前房囊肿中前房的重建]

[Reconstruction of the anterior chamber in posttraumatic epithelial ingrowths and epithelial anterior chamber cysts].

作者信息

Gundorova R A

出版信息

Oftalmol Zh. 1990(5):267-70.

PMID:2089320
Abstract

The pathology of penetrating injuries of the cornea and corneal-scleral area with the ingrowth of epithelium and formation of anterior chamber cysts is characterized by polymorphism and can be defined by two main kinds: 1) plane ingrowth of epithelium along the posterior surface of the cornea involving the iris and the lens, and partially or totally obliterating the anterior chamber; 2) formation of cysts with a locked cavity and clear content. In 42 patients with epithelial ingrowths as a result of penetrating injuries of the cornea and corneal-scleral area, the following kinds of interventions were used: 1) transplantation of posterior layers of the cornea with dissection of epithelial growth; 2) dissection of anterior chamber cysts; 3) cystectomy; 4) dissection of the cite of epithelial ingrowth by means of corneal transplantation with removal of the cyst or reconstruction of the anterior chamber. Immediate and remote results of surgical treatment, complications in various forms of the mentioned pathology are described.

摘要

角膜及角膜巩膜区域穿透伤伴上皮内生及前房囊肿形成的病理学具有多态性,可分为两种主要类型:1)上皮沿角膜后表面平面内生累及虹膜和晶状体,部分或完全闭塞前房;2)形成具有闭锁腔和清亮内容物的囊肿。在42例因角膜及角膜巩膜区域穿透伤导致上皮内生的患者中,采用了以下几种干预措施:1)角膜后层移植并切除上皮生长;2)前房囊肿切除术;3)囊肿切除术;4)通过角膜移植切除囊肿或重建前房来切除上皮内生部位。描述了手术治疗的近期和远期结果以及上述各种病理形式的并发症。

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