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老年性白内障摘除术后,由于角结膜的切口反应,产生眼睑部的轮匝肌痉挛和眼睑组织水肿,形成睑缘的轻度内翻.内翻的睑缘、睫毛磨擦角膜,轻则结膜的反应加重,切口愈合延迟;重则可引起角膜混浊,眼睑及球结膜水肿,使结膜充血经久不退.对于这种情况,药物治疗效果不甚明显.笔者近年来采用 T 形胶布固定眼睑的方法,结合抗炎、扩瞳等疗法,效果满意.方法清洁上睑部皮肤后涂抹复方安息香酊少许,以增加粘性,保护皮肤、用1×3Cm 的胶布平行于上睑缘贴敷于眼睑部皮肤,胶布距睑缘愈近效果则愈好.然后用1.5×6Cm 的胶布过平行胶布的中点且垂直于平行胶布,下端贴于平行胶布上,使之上睑轻轻提起悬贴于额部.病人可顿觉磨擦感消除或大为减轻.典型病例武××,女,74岁,农民.左眼老年性白内障(成熟期),暗室光感/6米.于1981
After senile cataract surgery, due to the incision of the keratoconjunctivitis, resulting in the orbicular muscle spasm eyelid and eyelid edema, the formation of mild eversion of the eyelid. Eversion of the eyelid, eyelashes rub the cornea, ranging from the conjunctiva Reaction aggravating, incision healing delay; heavy can cause corneal opacity, eyelid and conjunctival edema, conjunctival hyperemia enduring .For this situation, the effect of drug treatment is not obvious .In recent years, the use of T-shaped tape fixed eyelid method , Combined with anti-inflammatory, dilation and other therapy, the effect is satisfactory.Methods After cleaning the skin of the upper eyelid, apply a small dose of compound benzoin tincture to increase the viscosity, protect the skin, with 1 × 3Cm tape parallel to the upper eyelid edge of the skin in the eyelid , Tape from the eyelid closer to the effect is better then 1.5 × 6Cm tape over the midpoint of the tape and perpendicular to the parallel tape, the lower end of the parallel tape affixed to the upper eyelid gently lift the suspension in the forehead The patient can feel a sense of friction to eliminate or greatly reduce the typical cases of Wu × ×, female, 74 years old, left eye age-related cataract (maturity), light perception / darkroom in 1981