创新的开放性眼外伤清创方法。
Innovative method for wound debridement in open globe injury.
机构信息
Ocular Trauma Service, Drashti Netralaya, Dahod, Gujarat, India.
出版信息
Indian J Ophthalmol. 2022 Jun;70(6):2210. doi: 10.4103/ijo.IJO_1259_22.
BACKGROUND
Open globe injury is a serious sight threatening condition. Full-thickness, non-selfsealing corneal lacerations require repair in the operating room. During repair, debridement of the wound is an important step. Incarceration of the intraocular structures in the wound eg. Iris, lens capsule, vitreous leads to improper healing if not removed properly.
PURPOSE
To demonstrate the technique of wound debridement in open globe injury.
SYNOPSIS
: Manual removal of incarcerated tissue contents leads to incomplete cleaning & enormous traction on intra ocular contents. In this video, we have tried vitrectomy cutter with higher vacuum for cleaning the edges of the wound especially in the posterior aspect and debri removal, followed by easy suturing. All tissue in the wound edges are removed effectively without any traction on intraocular contents.
HIGHLIGHTS
: Vitrectomy cutter is a very useful and effective tool to clean wound edges and good apposition & suturing of wound.
VIDEO LINK
背景
开放性眼球损伤是一种严重的威胁视力的疾病。全层、非自封性角膜裂伤需要在手术室修复。在修复过程中，清创是一个重要步骤。如果不适当清除，眼内结构（如虹膜、晶状体囊、玻璃体）嵌顿在伤口中会导致不当愈合。
目的
展示开放性眼球损伤的清创技术。
概要
手动去除嵌顿的组织内容物会导致对眼内内容物的不完全清洁和巨大的牵引。在这个视频中，我们尝试使用具有更高吸力的玻璃体切割器来清洁伤口边缘，特别是在后部，以去除碎片，然后进行简单的缝合。通过这种方法，有效地去除了伤口边缘的所有组织，而不会对眼内内容物产生任何牵引力。
要点
玻璃体切割器是一种非常有用和有效的工具，可以清洁伤口边缘，使伤口良好贴合和缝合。
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