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巩膜接触镜用于在慢性兔眼症中保存角膜移植片

Scleral Contact Lens to Preserve a Corneal Graft in Chronic Lagophthalmos.

作者信息

Özbek Zeynep, Kefeli Işıl

机构信息

Dokuz Eylül University Faculty of Medicine, Department of Ophthalmology, İzmir, Türkiye.

出版信息

Turk J Ophthalmol. 2024 Apr 19;54(2):103-107. doi: 10.4274/tjo.galenos.2024.68253.

DOI:10.4274/tjo.galenos.2024.68253
PMID:38645833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11034537/
Abstract

Facial burns involving the periorbital region may lead to cicatricial ectropion and lagophthalmos, causing severe exposure keratopathy and eventually blindness if uncorrected. In these patients, it is critical to provide aesthetic and functional surgical correction to protect the ocular surface from chronic desiccation in addition to visual rehabilitation. Conventional methods may not be sufficient to provide visual rehabilitation in complex cases. Scleral lenses can be a multipurpose alternative for these patients. Herein, we present the challenging case of a patient who developed cicatricial lagophthalmos and exposure keratopathy after facial transplantation due to gasoline burns and received a scleral contact lens for visual rehabilitation.

摘要

累及眶周区域的面部烧伤可能导致瘢痕性睑外翻和兔眼症，如果不加以纠正，会引起严重的暴露性角膜病变并最终导致失明。对于这些患者，除了视力康复外，提供美观和功能性的手术矫正以保护眼表免受慢性干燥影响至关重要。传统方法可能不足以在复杂病例中实现视力康复。巩膜镜可为这些患者提供多用途的替代方案。在此，我们介绍一例具有挑战性的病例，该患者因汽油烧伤接受面部移植后出现瘢痕性兔眼症和暴露性角膜病变，并接受了巩膜接触镜进行视力康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/5afc62a61cb7/TJO-54-103-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/b2442b5e55d7/TJO-54-103-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/84c101f05839/TJO-54-103-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/728ae3197f20/TJO-54-103-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/c09952eaa665/TJO-54-103-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/5afc62a61cb7/TJO-54-103-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/b2442b5e55d7/TJO-54-103-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/84c101f05839/TJO-54-103-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/728ae3197f20/TJO-54-103-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/c09952eaa665/TJO-54-103-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/802e/11034537/5afc62a61cb7/TJO-54-103-g5.jpg

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本文引用的文献

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Assessment of the Prosthetic Replacement of Ocular Surface Ecosystem (PROSE) scleral lens on visual acuity for corneal irregularity and ocular surface disease.评估眼表重建（PROSE）巩膜镜对角膜不规则和眼表疾病的视力矫正效果。
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Innovations in Treatment of Lagophthalmos and Exposure Keratopathy.兔眼症和暴露性角膜病变的治疗创新
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A non-surgical approach to the management of exposure keratitis due to facial palsy by using mini-scleral lenses.一种通过使用微型巩膜镜治疗面瘫所致暴露性角膜炎的非手术方法。
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Clinical outcomes of scleral Misa lenses for visual rehabilitation in patients with pellucid marginal degeneration.用于透明边缘变性患者视力康复的巩膜Misa镜片的临床结果
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