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羊膜移植治疗史蒂文斯-约翰逊综合征的急性眼部受累:围手术期注意事项、手术技术及预后综述

Amniotic membrane grafting for acute ocular involvement in Stevens-Johnson syndrome: Review of perioperative considerations, surgical techniques, and outcomes.

作者信息

Singh Prabhakar, Palit Aparna, Gupta Abhishek, Niyogi Subhrashis G, Loganathan Sekar, Chattopadhyay Mahuya, Meshram Sheel, Verma Abhishek, Tripathy Peeyush K

机构信息

Department of Ophthalmology, All India Institute of Medical Sciences, Kalyani, West Bengal, India.

Department of Dermatology, All India Institute of Medical Sciences, Kalyani, West Bengal, India.

出版信息

Indian J Ophthalmol. 2025 Apr 1;73(4):553-562. doi: 10.4103/IJO.IJO_1238_24. Epub 2025 Mar 27.

Abstract

To review the perioperative considerations, surgical techniques, and outcomes of amniotic membrane grafting for acute ocular manifestations in Stevens-Johnson syndrome (SJS) and discuss a novel amniotic membrane grafting method. An online literature search of published articles on amniotic membrane grafting in acute SJS was performed using appropriate keywords on March 1, 2024. The relevant articles were included and analyzed. The review summarizes the relevance of amniotic membrane grafting in the current scenario. It also compares different techniques of amniotic membrane grafting and the ocular surface coverage each procedure provides. A novel technique of amniotic membrane grafting has been discussed with a schematic explanation. It also summarizes the complications of amniotic membrane grafting and their management, and the long-term outcomes of amniotic membrane grafting in preventing chronic sequelae. One should have a lower threshold for doing amniotic membrane grafting in cases with ocular involvement. This prevents the development of long-term sequelae and subsequent corneal blindness.

摘要

回顾Stevens-Johnson综合征(SJS)急性眼部表现的羊膜移植围手术期注意事项、手术技术及结果,并探讨一种新型羊膜移植方法。2024年3月1日,使用适当关键词对已发表的关于急性SJS羊膜移植的文章进行在线文献检索。纳入并分析相关文章。该综述总结了当前情况下羊膜移植的相关性。还比较了不同的羊膜移植技术以及每个手术提供的眼表覆盖范围。通过示意图解释讨论了一种新型羊膜移植技术。它还总结了羊膜移植的并发症及其处理,以及羊膜移植预防慢性后遗症的长期结果。对于眼部受累的病例,应降低进行羊膜移植的阈值。这可防止长期后遗症的发生及随后的角膜盲。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb3e/12097413/9654abbc9fee/IJO-73-553-g001.jpg

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