Morax S
J Fr Ophtalmol. 1981;4(11):741-6.
Reconstruction of the normal internal angle after injury raises the problem of conservation of the lacrimal pathways and the fixation of this angle when the ligament has been sectioned. Emergency treatment for the main types of lesion encountered are discussed. Superficial and deep lacerations require careful suturing in three planes and reconstruction of the lacrimal pathways; evulsions and tears should be treated by blepharopexy after determining the conjugated points; evulsion of the internal angle is often associated with an orbitonasal dislocation and has to be treated by transnasal internal canthopexy.
损伤后正常内角的重建引发了泪道保护以及韧带切断时该角度固定的问题。文中讨论了所遇到的主要损伤类型的紧急治疗方法。浅表和深部撕裂伤需要在三个平面进行仔细缝合并重建泪道;撕脱和撕裂伤在确定共轭点后应通过睑固定术进行治疗;内角撕脱常伴有眶鼻脱位,必须通过经鼻内眦固定术进行治疗。