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组织粘合剂:角膜穿孔治疗的新视角

Tissue adhesives: new perspectives in corneal perforations.

作者信息

Hirst L W, Stark W J, Jensen A D

出版信息

Ophthalmic Surg. 1979 Mar;10(3):58-64.

PMID:379729
Abstract

In corneal perforations associated with extensive progressive corneal disease, a technique using tissue adhesive closure of the perforation site and reformation of the anterior chamber before penetrating keratoplasty or conjunctival flap mobilization has been described. Over the past year, six eyes have been successfully treated in this manner. This method allows reformation of the eye under local anesthesia as an emergency procedure without incarceration or injury of the intraocular contents and without pain to the patient. The definitive surgical procedure can then be performed safely under retrobulbar anesthesia.

摘要

在与广泛进展性角膜疾病相关的角膜穿孔病例中,有人描述了一种技术,即在穿透性角膜移植术或结膜瓣移动术之前,使用组织粘合剂封闭穿孔部位并重建前房。在过去一年中,已有6只眼睛以这种方式成功治疗。该方法可在局部麻醉下作为紧急手术重建眼球,不会使眼内内容物嵌顿或受损,且患者无疼痛。然后可在球后麻醉下安全地进行确定性手术。

相似文献

1
Tissue adhesives: new perspectives in corneal perforations.组织粘合剂:角膜穿孔治疗的新视角
Ophthalmic Surg. 1979 Mar;10(3):58-64.
2
Combined use of sodium hyaluronate and tissue adhesive in penetrating keratoplasty of corneal perforations.透明质酸钠与组织黏合剂联合应用于角膜穿孔穿透性角膜移植术
Ophthalmic Surg. 1984 Jan;15(1):55-7.
3
Chronic corneal perforations.慢性角膜穿孔
Ophthalmic Surg. 1992 Jun;23(6):399-402.
4
Intracameral fibrin tissue sealant as an adjunct in tectonic lamellar keratoplasty for large corneal perforations.前房内纤维蛋白组织黏合剂在大型角膜穿孔的结构性板层角膜移植术中作为辅助手段的应用。
Cornea. 2009 May;28(4):451-5. doi: 10.1097/ICO.0b013e31818ad9d0.
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The effectiveness of isobutyl cyanoacrylate tissue adhesive for the treatment of corneal perforations.氰基丙烯酸异丁酯组织黏合剂治疗角膜穿孔的有效性。
Am J Ophthalmol. 2005 Nov;140(5):920-1. doi: 10.1016/j.ajo.2005.04.062.
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Donor source affects the outcome of ocular surface reconstruction in chemical or thermal burns of the cornea.供体来源会影响角膜化学伤或热烧伤眼表重建的结果。
Ophthalmology. 2004 Jan;111(1):38-44. doi: 10.1016/j.ophtha.2003.02.003.
7
A surgical technique for the treatment of central corneal perforations.一种治疗中央角膜穿孔的手术技术。
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8
Penetrating keratoplasty with use of adhesives and scleral strip in acute corneal perforations.
Ophthalmic Surg. 1982 Jun;13(6):475-7.
9
Tissue adhesive therapy for corneal perforations.角膜穿孔的组织粘合剂疗法。
Aust J Ophthalmol. 1983 May;11(2):113-8.
10
Indications for penetrating keratoplasty and associated procedures, 1989-1995.穿透性角膜移植术及相关手术的适应症,1989 - 1995年
Cornea. 1997 Nov;16(6):623-9.

引用本文的文献

1
Comparison of conjunctival pedicle flap to corneal fixation strength achieved by Tisseel® fibrin glue, ethyl cyanoacrylate adhesive, ReSure® hydrogel sealant, and conventional suturing with 8-0 VICRYL® ophthalmic suture.结膜蒂状瓣与通过Tisseel®纤维蛋白胶、氰基丙烯酸乙酯粘合剂、ReSure®水凝胶密封剂以及使用8-0 VICRYL®眼科缝线进行传统缝合所实现的角膜固定强度的比较。
Vet Ophthalmol. 2025 Mar;28(2):253-263. doi: 10.1111/vop.13197. Epub 2024 Mar 26.
2
Management of corneal perforations: An update.角膜穿孔的处理:更新。
Indian J Ophthalmol. 2020 Jan;68(1):7-14. doi: 10.4103/ijo.IJO_1151_19.
3
Fibrin glue-assisted for the treatment of corneal perforations using glycerin-cryopreserved corneal tissue.
纤维蛋白胶辅助使用甘油冷冻保存的角膜组织治疗角膜穿孔。
Int J Ophthalmol. 2014 Feb 18;7(1):62-5. doi: 10.3980/j.issn.2222-3959.2014.01.11. eCollection 2014.
4
Reinforcement of the suture line with an ePTFE graft attached with histoacryl glue in duodenal trauma.在十二指肠创伤中,使用组织黏合剂固定的ePTFE移植物加强缝合线。
Can J Surg. 2006 Apr;49(2):107-12.
5
Management of corneal descemetoceles and perforations.角膜后弹力层膨出和穿孔的处理
Trans Am Ophthalmol Soc. 1984;82:92-105.