羊膜移植治疗急性眼表烧伤的疗效

Curative effect of amniotic membrane transplantation for acute ocular burns

摘要:

目的:讨论羊膜移植术对治疗急性眼表烧伤的疗效。方法:用新鲜的人羊膜移植术来治疗眼部早期烧伤10例12眼。结果:患者12眼均于术后3wk内眼表重新再次上皮化;恢复透明角膜3眼,薄翳5眼,遗留角膜斑翳2眼,角膜白斑者2眼;角膜血管新生3眼,其中限于角膜周边部仅2眼,1眼进入角膜瞳孔区;睑球轻度粘连2眼。结论:羊膜移植治疗早期眼部烧伤可获得稳定的眼表,是一种有效的方法,且为日后行角膜移植术治疗创造了条件。

Abstract:

AIM:To discuss the curative effect of amniotic membrane transplantation for acute ocular burn patients. METHODS:Fresh amniotic membrane transplantation was for treatment of early ocular burns in 10 patients (12 eyes). RESULTS:Twelve eyes were of reepithelialization of ocular surface within 3 weeks after operation;cornea restored transparency in 3 eyes, left thin nebula in 5 eyes, left corneal macula in 2 eyes,leukoma in 2 eyes;corneal neovascularization was in 3 eyes, among which neovascularization was limited at peripheral cornea in 2 eyes and entered into pupil region of the cornea in 1 eye; mild symblepharon was in 2 eyes. CONCLUSION:Fresh amniotic membrane transplantation in the treatment of early ocular thermal burns can obtain a stable ocular surface. It is an effective way and creates the conditions for cornea transplantation for the future.