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虹膜脱出性眼球损伤的重建手术(作者译)

[Reconstructive surgery on eyeball injuries with iris prolapse (author's transl)].

作者信息

Polychronakos D, Kokkonidis P

出版信息

Klin Monbl Augenheilkd. 1980 Sep;177(3):371-5. doi: 10.1055/s-2008-1057657.

Abstract

Whereas before the Second World War eyeball injuries involving iris prolapse were treated by excision, it is customary nowadays in almost all cases to attempt restoration of the iris. The authors deal briefly with the various views on when restoration of the iris should be performed, how long after injury it can still be carried out, and the kind of suture and material used. They then describe their operating technique in cases of injury to the cornea and the eyeball in general with iris prolapse, and report their results in 21 cases of cornea injury with iris prolapse and nine cases, also with iris prolapse, where the injury extended to the sclera. Details are given of the time elapsing between injury and operation, the final degree of vision regained, and the aesthetic result. The authors' final conclusion is that in cases of iris prolapse as a result of injury to the cornea and the eyeball in general, an attempt should be made to achieve restoration, with antibiotic treatment given at the same time.

摘要

在第二次世界大战之前,涉及虹膜脱出的眼球损伤是通过切除来治疗的,而如今在几乎所有病例中,习惯做法是尝试恢复虹膜。作者简要论述了关于何时应进行虹膜恢复、损伤后多久仍可进行恢复以及所使用的缝合线和材料种类的各种观点。然后,他们描述了在角膜和眼球一般伴有虹膜脱出损伤的病例中的手术技巧,并报告了21例伴有虹膜脱出的角膜损伤病例以及9例同样伴有虹膜脱出且损伤累及巩膜的病例的结果。文中给出了损伤与手术之间的时间间隔、最终恢复的视力程度以及美学效果的详细情况。作者的最终结论是,在因角膜和眼球一般损伤导致虹膜脱出的病例中,应尝试进行恢复,并同时给予抗生素治疗。

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