深低温保存羊膜在眼表疾病中的应用

Preserved human amniotic membrane transplantation for ocular surface diseases

  • 摘要: 目的: 探讨保存羊膜在眼表疾病中的应用。方法: 选择眼表疾病患者54例(56眼),根据不同病情,均在常规手术或联合皮瓣修补、角膜移植基础上采用深低温保存人羊膜移植,重建缺损的眼表面。结果: 所有患者术后炎症反应轻,眼表重建稳定。随访5~24个月,平均15.5个月,外伤31眼中23眼术后粘连解除,结膜缺损修复,眼表重建满意;8眼因烧伤严重部分改善,其中2眼半年后经再次羊膜移植彻底修复。复发性翼状胬肉患者1 0眼中1眼轻度复发。持续性角膜上皮缺损伴溃疡及义眼台暴露患者1 5眼均治愈。结论: 保存羊膜移植对大部分严重眼表疾病具有良好的治疗作用。

     

    Abstract: Objective: To evaluate the clinic application of preserved human amniotic membrane transplantation in severe ocular surface disease. Methods: 54patients (56eyes) with ocular surface disease were chosen.Operations of preserved human amniotic membrane transplantation for ocular surface reconstruction were performed on the basis of routine operations. Results: All ocular surfaces of these patients were reconstructed with little inflammatory reaction and good stabilization. In the follow-up 15.5months (5-24months),adhesions were released,conjunctiva defects were repaired and surfaces were rebuilt with satisfaction,in 23 of 31traumatic eyes.The other 8 eyes were partially improved because of severe burns.2of them were totally repaired after second amniotic membrane transplantation half a year later. One of ten recurrent pterygium eyes showed a recurrence.15eyes with prosthetic eyeball exposure and conjunctival sac contraction or keratohelcosis were all cured. Conclusion: The transplantation of preserved human amniotic membrane appears to be a very effective treatment for most of the severe ocular surface disease.

     

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