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首页> 外文期刊>Cornea >New surgical approach for superior conjunctivochalasis.
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New surgical approach for superior conjunctivochalasis.

机译：上结膜松弛症的新手术方法。

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PURPOSE: To show poor adhesion between the conjunctiva and the sclera in eyes with superior conjunctivochalasis (CCh) and to introduce a new surgical approach by reinforcing adhesion between the conjunctiva and the sclera for correcting this deficiency. METHODS: After conjunctival peritomy and removal of the loose Tenon remnants, "Tenon reinforcement" for conjunctival adhesion to the underlying sclera was achieved by transplantation of cryopreserved amniotic membrane with fibrin glue (group A, 9 eyes of 6 patients) or 10-0 nylon sutures (group B, 8 eyes of 6 patients) in 17 eyes of 12 patients with refractory superior CCh. RESULTS: The mean age of patients was 68.2 +/- 9.8 years (range, 54-80 years). Superior CCh was associated with a superior limbic keratoconjunctivitis (SLK)-like clinical feature before surgery and found to exhibit dissolved Tenon capsule during surgery in all patients. During a mean follow-up of 3.7 +/- 1.9 months after surgery, all eyes achieved smooth conjunctival surface without any sign of CCh. Complete resolution of symptoms was seen in 9 eyes (52.9%) and significant resolution in 8 eyes (47.1%). There was no significant difference between groups A and B in improvement of symptoms and signs. No complications related to surgery were noted during follow-up. CONCLUSIONS: We propose that loose and dissolved Tenon tissue is correlated with the development of superior CCh, which may result in an SLK-like appearance by blink-related microtrauma. Reinforcement of conjunctival adhesion onto the sclera by amniotic membrane with either fibrin glue or sutures is effective in alleviating symptoms and signs in eyes with superior CCh.
机译：目的：在结膜上睑松弛症（CCh）的眼睛中显示结膜和巩膜之间的粘附力较差，并通过增强结膜和巩膜之间的粘附力来引入新的外科手术方法来纠正这种缺陷。方法：在结膜周膜切开术和去除松散的腱残留物后，通过纤维蛋白胶（A组，6例患者的9眼）或10-0尼龙移植冷冻保存的羊膜，实现“ Tenon增强”以结膜附着于下面的巩膜。 12例难治性上ChC患者的17眼缝合（B组，8眼，6例患者）。结果：患者的平均年龄为68.2 +/- 9.8岁（范围54-80岁）。优越的CCh术前具有上肢角膜结膜炎（SLK）样的临床特征，并且在所有患者的手术过程中均表现出溶解的Tenon胶囊。在术后平均3.7 +/- 1.9个月的平均随访期间，所有眼睛的结膜表面均光滑无任何CCh征象。 9眼（52.9％）可以完全缓解症状，而8眼（47.1％）可以明显缓解症状。 A组和B组在症状和体征改善方面无显着差异。随访期间未发现与手术相关的并发症。结论：我们认为松散和溶解的腱组织与上位性CCh的发展有关，这可能导致眨眼相关的微创伤导致SLK样外观。用纤维蛋白胶或缝线通过羊膜加强结膜对巩膜的附着力可有效缓解具有CCh的眼睛的症状和体征。

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