睑下垂术后暴露性角膜炎的回顾性分析
徐东强，周雄，周和政
作者单位：（430070）中国湖北省武汉市，广州军区武汉总医院眼科
作者简介：徐东强，男，硕士研究生，主治医师，现从事眼部整形美容专业。
通讯作者：徐东强[email protected]
收稿日期：2008-03-05修回日期：2008-03-17
Retrospective analysis of exposure keratitis after blepharoptosis surgery
Dong-Qiang Xu, Xiong Zhou, He-Zheng Zhou
Department of Ophthalmology, Wuhan General Hospital of Guang-zhou Military Command of Chinese PLA, Wuhan 430070, Hubei Province, China
Correspondence to:Dong-Qiang Xu.Department of Ophthalmology, Wuhan General Hospital of Guangzhou Military Command of Chinese PLA, Wuhan 430070, Hubei Province, China. [email protected]
Received:2008-03-05Accepted:2008-03-17
Abstract
AIM: To investigate the causes of exposure keratitis after blepharoptosis surgery and to establish proper preventive measures.
METHODS: Clinical data of 28 cases (30 eyes) with exposure keratitis admitted to our hospital from 2001 to 2007 were retrospectively analyzed, including general information, signs before and after surgery, surgical procedures and remedies.
RESULTS: The causes of exposure keratitis included dry eyes before surgery, being negative to Bells phenomenon, iatrogenic injuries, no blinking due to pain and incomplete closure of eyelid fissure.
CONCLUSION: Comprehensive and meticulous physical examination before surgery, proper intraoperative preventive measures, careful and correct postoperative observations and remedies, and encouragement to patients are the key points to prevent exposure keratitis.
KEYWORDS: blepharoptosis;keratitis;retrospective analysis
Xu DQ, Zhou X, Zhou HZ. Retrospective analysis of exposure keratitis after blepharoptosis surgery. Int J Ophthalmol(Guoji Yanke
Zazhi) 2008;8(5):1025-1026
摘要
目的：探讨睑下垂术后暴露性角膜炎的发生原因，并制定相应的预防措施。
方法：对我院2001/2007收治的28例（30眼）各种术式睑下垂术后暴露性角膜炎的临床资料（包括一般资料，术前体征，手术方式，术后体征及治疗措施）进行回顾性分析。
结果：术前患干眼症，术中医源性损伤，术后Bell氏现象阴性，患者因怕痛而不瞬目，睑裂闭合不全等都是重要的睑下垂术后暴露性角膜炎的致病因素。
结论：术前全面细致的检查，术中对应的预防措施，术后及时正确的处置，和给患者克服疼痛的鼓励是防治暴露性角膜炎的关键点。
关键词：睑下垂，角膜炎，回顾性分析
徐东强，周雄，周和政.睑下垂术后暴露性角膜炎的回顾性分析.国际眼科杂志 2008;8(5):1025-1026
来源：互联网
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