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儿童复杂眼前段外伤术后的慢性增生反应

The chronic proliferative reaction after the surgery for complex injury of anterior segment of the eye in children.

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【作者】 张龄洁麻张伟辛勤辉伍海建

【Author】 ZHANG Lingjie,MA Zhangwei,XIN Qinghui,et al.Department of Ophthalmology,Jiaojiang People′s Hospital,Zhejiang Province 318000

【机构】 浙江省椒江人民医院眼科

【摘要】 目的 探讨慢性增生反应在儿童复杂性眼前段外伤术后并发症中的作用。方法 对 11例儿童复杂眼前段外伤术后各种并发症进行观察。结果 所有病例均有不同程度的以纤维机化膜形成为主的并发症。部分病例以Nd :YAG激光截囊或手术截囊后再次形成机化膜需第 2次处理。 1例 7岁男童其左眼经 2次膜切除后形成更加致密的机化膜 ,最终因继发青光眼 ,前房消失 ,大泡性角膜病变而失明。结论 儿童复杂眼前段外伤及其手术如ECCE加IOL植入术后慢性增生反应所形成的不良修复结局 ,是其严重并发症的原因之一

【Abstract】 Objective To study the effect of chronic proliferative reaction in postoperative complications after complex injury anterior segment of eye ball among children.Methods Abserved the all sorts of postoperative comlications after complex injury of anterior segment of eye ball among 11 pediatric cases.Results All cases had the complications that caused by fibrous organizational membranes formation.In some cases the secondary membranes formed again after the Nd:YAG laser capsulotomy or surgical capsulectomy and needed secondary management.A 7 years old boy,his left eye formed further thicker organizational membrane after underwent two operations for removing membrane and lost left vision as appeared secondary glaucoma,flat AC and bullous keratophathy.Conclusion The one of main reasons of serious complications postoperatively after undergo the complex injury of anterior segment of eye ball and its secondary operations such as ECCE with IOL implantation in children is a bad repairing result from the chronic proliferative reaction.

【关键词】 儿童眼前段外伤手术增生
【Key words】 Children Anterior segmenteye Injury Surgery Proliferation
  • 【文献出处】 眼外伤职业眼病杂志.附眼科手术 ,Chinese Journal of Ocular Trauma and Occupational Eye Disease(With Ophthalmic Surgery) , 编辑部邮箱 ,2001年02期
  • 【分类号】R779.7
  • 【被引频次】1
  • 【下载频次】13
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