Fein W
Ophthalmic Surg. 1979 Jun;10(6):44-7.
Large adhesions between a globe and an eyelid reform after surgical sectioning. Techniques to prevent reattachment have relied on mucosal grafts or plastic shields to prevent opposing raw surfaces from touching each other. A procedure is described using neither graft nor plastic shells which enables the traumatized surfaces to be opposed to uninjured mucosa until healing has been completed. This procedure makes use of techniques which are usually employed to repair other kinds of ophthalmic problems: after the symblepharon is dissected from the cornea, it is used to form the inner surface of the lid; Beta radiation is applied and bare sclera is not covered; the globe is then rotated with traction sutures and tethered to the lateral canthus until spontaneous epithelialization is achieved.
眼球与眼睑之间的大面积粘连在手术切断后会重新形成。防止重新粘连的技术一直依赖于黏膜移植或塑料屏障，以防止相对的创面相互接触。本文描述了一种既不使用移植也不使用塑料壳的方法，该方法能使受伤的表面与未受伤的黏膜相对，直至愈合完成。此方法利用了通常用于修复其他眼科问题的技术：睑球粘连从角膜分离后，用于形成眼睑的内表面；应用β射线且不覆盖裸露的巩膜；然后通过牵引缝线旋转眼球并将其固定于外眦，直至实现自发上皮化。
