Viscoat黏弹剂联合软性角膜接触镜治疗角膜中央穿孔

发布时间：2018-01-24 00:25

  本文关键词： Viscoat黏弹剂 软性角膜接触镜 角膜中央穿孔　出处：《眼科新进展》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨Viscoat黏弹剂联合软性角膜接触镜治疗角膜中央穿孔的临床疗效。方法收集我院眼科就诊的6例角膜中央穿孔患者的临床资料,角膜穿孔的直径均不超过2.0 mm,行角膜局部清创并在前房内注入Viscoat,然后予以配戴软性角膜接触镜,随访2~3个月,记录患者主观感觉、视力、裂隙灯检查、眼压、活体共聚焦显微镜、角膜内皮细胞计数等以判断疗效。结果所有病例均达到治愈,治疗时长为1~2个月;最佳矫正视力提高至0.6~0.8,角膜内皮细胞计数为(3415.5±279.5)个·mm-2,角膜未留明显瘢痕,无严重并发症发生。结论对于直径≤2.0 mm的外伤性角膜中央穿孔可通过应用Viscoat黏弹剂联合软性角膜接触镜治疗,预后良好,并且减轻了患者的经济负担。
[Abstract]:Objective to investigate the clinical effect of Viscoat viscoelastics combined with soft contact lens in the treatment of central corneal perforation. Methods the clinical data of 6 patients with central corneal perforation were collected. The diameter of corneal perforation was less than 2.0 mm. Local corneal debridement was performed, Viscoat was injected into the anterior chamber, then soft contact lens was worn and followed up for 2 ~ 3 months. Subjective sensation, visual acuity, slit lamp examination, intraocular pressure, confocal microscope and corneal endothelial cell count were recorded to evaluate the curative effect. The best corrected visual acuity (BCVA) was increased to 0.60.8.The number of corneal endothelial cells was 3415.5 卤279.5 路m ~ (-2) 路m ~ (-2), and no scar was left in the cornea. Conclusion traumatic central corneal perforation with diameter 鈮，

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