人咬伤眼睑缺损修补一例

来源 :眼外伤职业眼病杂志(附眼科手术) | 被引量 : 0次 | 上传用户:aaalxf
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患者,男,38岁,农民,住院号130125.因打架,被他人咬伤右眼上睑,闭睑时,颞侧眼球前段外露,于1989年11月5日及时收住我院.查体无异常.眼部检查:右眼视力:0.8,上睑外1/3处有12×10mm大的全层缺损,边缘不规则,上方球结膜片状出血,角膜上皮轻度擦伤,余无异常.左眼正常.即在局麻下行眼睑再造术,首先根据眼睑皮肤缺损的形态,自右上臂内侧取浅层皮片,用已妥善处理的异体巩膜代睑板,剪成与缺损睑板同样的形态,其葡萄膜面朝里,其外面朝角膜,使皮肤与巩膜紧贴,用3-0丝线固定.5-0丝线将皮肤与睑 Patient, male, 38 years old, farmer, hospital number 130125. Due to fighting, was bitten by the right eye upper eyelid, closed eyelid, front temporal eye exposed, on November 5, 1989 promptly admitted to our hospital. No abnormalities. Eye examination: visual acuity of the right eye: 0.8, 1/3 of the upper eyelid with 12 × 10mm large full-thickness defects, irregular edges, conjunctival flakes above the bleeding, corneal epithelial mild abrasions, I Abnormal left eye is normal .At the local anesthesia under eyelid reconstruction, first of all, according to the morphology of eyelid skin defects, from the upper right arm to take shallow skin flap, with proper treatment of the scleral on behalf of the tarsal, cut and defect tarsus In the same configuration, the uveal surface is facing inwards and the cornea is facing outwardly, bringing the skin into close contact with the sclera and fixing it with 3-0 silk thread. The 5-0 silk thread separates the skin from the eyelid
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