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作者报告了1例穿孔性巩膜软化症患者的左眼颞侧巩膜变薄发蓝,似将穿孔,在使用了主动脉组织加强该巩膜后,收到良好效果。该主动脉组织系取自尸检病人,直径为2.5厘米,长5厘米。先置之于 Zephiran 液中,冷藏3天,手术前以消毒生理盐水冲洗干净,将管壁垂直切开,用钝器将外膜及内膜剥离,只留下弹性组织备用。先将患眼球结膜由角膜绿11~4点处切开,向后剥离到直肌附着点。将剪成半环形的主动脉移植片,内膜向下,缝在上直肌肌腱和角膜绿12点处。然后将移植片稍拉紧,使它压在变薄的巩膜上,不直接与巩膜缝合而缝于外直肌和下直肌肌腱上。再将移植片内
The authors report that in one patient with perforated scleral softening, the temporal sclera of the left eye became thin and bluish and seemed to perforate, receiving good results after using the aortic tissue to strengthen the sclera. The aortic tissue was obtained from an autopsy patient with a diameter of 2.5 cm and a length of 5 cm. First placed in Zephiran liquid, refrigerated for 3 days before surgery to disinfect saline flush, the wall cut vertically, the blunt dissection of the outer membrane and intima, leaving only the elastic tissue standby. First eyeball conjunctiva corneal green cut from 11 to 4 points, peeled back to the rectus muscle attachment point. The semicircular aortic graft will be trimmed, with the intima down, sewn to the upper rectus tendon and corneal green at 12 o’clock. The graft is then tightened slightly so that it impinges on the thinning sclera and is not sewn directly to the sclera but seams on the lateral and lateral rectus tendons. Then transplants