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[摘要]
目的:探讨结膜新月形切除术、结膜缝线固定术治疗结膜松弛症的疗效。
方法:对27例48眼结膜松弛症患者随机分组,分别应用结膜新月形切除、结膜缝线固定术进行治疗,术后随访观察疗效。从术后患者自觉症状、裂隙灯显微镜观察结膜松弛改善情况及泪河和泪膜破裂时间(BUT)的变化进行观察分析。
结果:术后1wk,结膜新月形切除术组有效率为92%,结膜缝线固定术组有效率为88%。术后1mo,结膜新月形切除术组有效率为92%,结膜缝线固定术组有效率为83% 。
结论:两种手术方法治疗结膜松弛症方法简单,疗效明确。
[Key word]
[Abstract]
AIM: To discuss the effects of crescent-shaped resection of redundant conjunctiva and conjunctival fixation to the sclera to treat conjunctivochalasis.
METHODS: Totally 27 cases(48 eyes)suffering from conjunctivochalasis were treated by using two techniques: crescent-shaped resection of redundant conjunctiva, conjunctival fixation to the sclera. Evaluation of symptom, observation of conjunctivochalasis using slit lamp microscope, tear meniscus, tear break-up time(BUT)were measured after surgery.
RESULTS: Follow-up visits were made 1 week after surgery. Improvement was indicated in 92% crescent-shaped resection, in 88% in conjunctival fixation to the sclera. One month after surgery, improvement was indicated in 92% crescent-shaped resection, in 83% in conjunctival fixation to the sclera.
CONCLUSION: The two surgical techniques are effective in treating conjunctivochalasis.
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