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蘑菇状角膜移植和隐形眼镜应用:小儿眼外伤的处理策略。

Mushroom keratoplasty and contact lens application: Strategy for management of a pediatric eye injury.

机构信息

Eye Clinic San Giuseppe Hospital, Milan, Italy.

Eye Clinic San Giuseppe Hospital; Department of Clinical Science and Community Health, University of Milan, Italy.

出版信息

Indian J Ophthalmol. 2019 Jul;67(7):1195-1197. doi: 10.4103/ijo.IJO_1665_18.

Abstract

We show the challenging visual rehabilitation of a penetrating eye injury in a child with wide central corneal scar and aphakia. A 9-year-old male patient underwent combined surgery, including membranectomy with pupilloplasty and mushroom penetrating keratoplasty. Corneal transparency was restored; aphakia and irregular astigmatism were corrected first with a rigid gas-permeable contact lens (CL) and then, successfully, with hybrid CL. We discuss the surgical treatment used to restore corneal transparency and the choice of the best CL to overcome irregular astigmatism and aphakia.

摘要

我们展示了一例儿童眼穿透伤的挑战性视觉康复病例,该患儿存在广泛的中央角膜瘢痕和无晶状体。一名 9 岁男性患者接受了联合手术,包括膜切除术伴瞳孔成形术和蘑菇状穿透性角膜移植术。角膜透明性得到恢复;无晶状体和不规则散光首先通过硬性透气性隐形眼镜(CL)矫正,然后成功地通过混合 CL 矫正。我们讨论了用于恢复角膜透明性的手术治疗以及选择最佳 CL 以克服不规则散光和无晶状体的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0667/6611279/59ee3cee1dac/IJO-67-1195-g001.jpg

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1
Mushroom keratoplasty and contact lens application: Strategy for management of a pediatric eye injury.
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本文引用的文献

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Contact lens management of irregular corneas after traumatic aphakia: A pediatric case series.
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