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术后前房囊肿的角巩膜阻滞切除术

Corneoscleral block excision of postoperative anterior chamber cysts.

作者信息

Forster R K

机构信息

Bascom Palmer Eye Institute, University of Miami School of Medicine, Department of Ophthalmology, Florida, USA.

出版信息

Trans Am Ophthalmol Soc. 1995;93:83-97; discussion 97-104.

PMID:8719672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1312051/
Abstract

PURPOSE

To describe the clinical presentation, surgical treatment and histopathology of three cases of cystic epithelial ingrowth occurring after cataract surgery.

METHODS

Three patients developed anterior chamber cysts, two with an associated conjunctival bleb and fistula, following extracapsular cataract and phacoemulsification surgery. The technique of block excision and corneoscleral graft was used in the three patients.

RESULTS

There was no evidence of recurrence twenty-six, twenty-three and seven months postoperatively. Visual acuities were 20/30, 20/20-2 and 20/25-2, with mild astigmatism and well controlled intraocular pressure. Histopathology illustrated that conjunctival and corneal epithelium invaded the anterior chamber through a wound defect.

CONCLUSION

At this time, block excision with a corneoscleral graft may be the most definitive surgical treatment of cystic epithelial ingrowth.

摘要

目的

描述三例白内障手术后发生的囊性上皮内生的临床表现、手术治疗及组织病理学情况。

方法

三例患者在白内障囊外摘除术和超声乳化白内障吸除术后出现前房囊肿，其中两例伴有相关的结膜滤过泡和瘘管。三例患者均采用整块切除联合角巩膜移植术。

结果

术后26个月、23个月和7个月均无复发迹象。视力分别为20/30、20/20 - 2和20/25 - 2，伴有轻度散光，眼压控制良好。组织病理学显示结膜和角膜上皮通过伤口缺损侵入前房。

结论

目前，整块切除联合角巩膜移植术可能是治疗囊性上皮内生最确切的手术方法。

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