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Repair of scleromalacia using preserved scleral graft with amniotic membrane transplantation.

机译:使用保留的巩膜移植物和羊膜移植修复巩膜软化症。

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PURPOSETo evaluate the use of preserved scleral graft with amniotic membrane transplantation (AMT) for the surgical repair of scleromalacia.METHODSA prospective study of eight eyes (eight patients) was performed. We grafted glycerin-preserved sclera onto the areas of scleral thinning with impending perforation and then covered them with an amniotic membrane with a thick basement membrane instead of a conjunctival flap.RESULTSAll patients experienced loss of ocular pain and inflammation, rapid reepithelialization of the ocular surface, and marked improvement in visual acuity. All of the scleral grafts remained intact, and no recurrence of scleromalacia was observed.CONCLUSIONPreserved scleral graft with AMT was simple, fast, and effective. It was particularly advantageous when large scleral defects or conjunctival scarring was present. With these therapeutic results, preserved scleral graft with AMT qualifies as a new treatment alternative for scleromalacia.
机译:目的评估保留的巩膜移植物与羊膜移植(AMT)在巩膜软化症的手术修复中的应用.METHODSA对八只眼(八例)进行了前瞻性研究。我们将保留甘油的巩膜移植到巩膜变薄区域并伴有穿孔,然后用羊膜覆盖较厚的基膜而不是结膜瓣覆盖。结果所有患者均出现眼痛和炎症丧失,眼表快速重新上皮化,并且视力明显改善。结论:所有保留的巩膜移植物均完好无损,未见巩膜软化复发。结论结论:保留AMT的巩膜移植物简单,快速,有效。当存在大的巩膜缺损或结膜瘢痕形成时,这是特别有利的。通过这些治疗结果,保留有AMT的巩膜移植物可以作为巩膜软化症的新治疗选择。

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