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本文总结了21例前房上皮植入,其中我院住院病例19例,外院病理会诊2例。共有虹膜珍珠状囊肿1例,前房植入性囊肿18例,上皮植入2例。前房上皮植入发生于穿孔性眼外伤或眼内手术后,可引起严重的继发性青光眼而致视力丧失,甚至眼球摘除。就此,作者介绍了一些有价值的诊断及治疗方法。本文的虹膜珍珠状囊肿和植入性囊肿共19例采用手术切除或激光治疗,除1例摘除眼球,1例好转,2例复发外,其余全部治愈。但上皮植入的2例病人,因眼压无法控制最终摘除眼球,可见上皮植入的后果更为严重。所以预防极其重要,本文指出对于穿孔性眼外伤患者的检查和伤口处理应认真细致,施行眼内手术时要将眼内、眼外器械分开,切口对合应整齐、严密。
This article summarizes the 21 cases of anterior chamber epithelial implantation, including 19 cases of hospital inpatient, pathological consultation in 2 cases. A total of 1 iris pearl cyst, anterior chamber implantation of cysts in 18 cases, epithelial implantation in 2 cases. Anterior chamber epithelial implantation occurred in the perforation of ocular trauma or intraocular surgery, can cause serious secondary glaucoma caused by loss of vision, and even enucleation. In this connection, the author introduced some valuable diagnostic and therapeutic methods. In this paper, iris pearl cysts and implanted cysts in 19 cases were treated with surgical resection or laser treatment, except for 1 case of exophthalmos, 1 case improved, 2 cases of recurrence, the rest were cured. However, 2 cases of epithelial implantation of patients, due to intraocular pressure can not control the final removal of the eye, showing the consequences of epithelial implantation more serious. Therefore, prevention is extremely important. This paper points out that the inspection and wound treatment of perforation eye trauma patients should be carefully and meticulously. Intraocular and extra-ocular instruments should be separated when performing intraocular surgery. The incision should be neat and tight.