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目的 :探讨治疗性亲水性软性角膜接触镜的适应证与效果。方法 :对眼部化学烧伤与热烧伤所致的上皮缺损 33例 34眼、手术创伤等原因导致的大泡性角膜病变 30例以及角膜上皮剥脱 6例 7眼 ,角膜创口缝线刺激者 15例 15眼 ,及角膜小裂孔伤 2例 2眼等患者 ,用连续配戴治疗性亲水性软性角膜接触镜治疗 ,联用抗生素眼药水、人工泪液和爱丽眼药水治疗。结果 :化学与热烧伤后上皮缺损戴镜后治愈率为 82 .4% ;白内障手术创伤等因素影响 ,导致内皮失代偿引起大泡性角膜病变 ,症状缓解率达 10 0 % ;7例机械性外伤所致角膜上皮擦伤和反复性角膜上皮剥脱治愈率 10 0 % ;用于缓解创口缝线的刺激和促进角膜小穿孔等处理也有明显效果。结论 :连续戴用亲水性软性角膜接触镜对大泡性角膜病变引起的疼痛及缝线刺激可消除或缓解 ,对化学烧伤、壬烧伤及机械性外伤角膜上皮缺损及角膜小穿孔也具有促进愈合的效果。
Objective: To investigate the indications and effects of therapeutic hydrophilic soft contact lenses. Methods: Thirty eyes (34 eyes) of epithelial defects caused by eye burns and thermal burns, 30 cases of bullous keratopathy due to surgical trauma and 6 cases of corneal epithelial exfoliation (7 eyes), 15 cases of corneal wound suture stimulation 15 eyes, and 2 cases of corneal cleft injury in 2 cases. The patients were treated with continuous treatment of soft hydrophilic contact lenses, combined with antibiotic eye drops, artificial tears and Alzheimer’s eye drops. Results: The cure rate of epithelial defects after chemical and thermal burns was 82.4%. The cataract surgery trauma and other factors, which led to bullous keratopathy caused by endothelial decompensation, the symptom relief rate reached 10%; 7 cases of mechanical Corneal epithelial abrasions caused by trauma and recurrent corneal epithelial exfoliation cure rate of 10%; used to ease the stimulation of wound sutures and promote corneal small perforation and other treatments have a significant effect. CONCLUSIONS: Continuous wearing of hydrophilic soft contact lens can eliminate or relieve the pain caused by bullous keratopathy and suture stimulation, and also have the effects on chemical burns, burn injury, mechanical trauma corneal epithelial defects and corneal small perforation Promote the healing effect.