摘要
目的探讨泪道阻塞合并结膜松弛引起的溢泪，行泪道激光联合改良结膜松弛矫正术的临床效果。方法2011年10月至2012年10月在天津爱尔眼科医院行泪道激光联合改良结膜松弛矫正术28例（42眼）。分析其治疗溢泪的临床效果、并发症及其手术要点，并与分期手术进行对比。结果42眼中治愈6眼，明显好转25眼，好转10眼，无效1眼，总有效率为97．6％。并发症包括泪道阻塞复发15眼，但其中14眼溢泪症状亦明显改善；治愈病例中有2眼出现轻度干眼。手术效果与分期手术者无明显差异。结论泪道激光联合改良结膜松弛矫正术治疗溢泪有效，术后并发症少。改良结膜松弛矫正术的手术要点是处理眼球筋膜囊，并将其与浅层巩膜固定。
Objective To evaluate the efficacy of lacrimal passage laser and improved conjunctiv- ochalasis correction in treatment of epiphora caused by lacrimal passage obstruction and conjunctivochalasis. Methods 42 eyes of 28 cases treated by lacrimal passage laser and improved conjunctivochalasis correction from October 2011 to October 2012 in Tianjin Aier Eye Hospital were collected. The clinical effects, compli- cations and key points of the surgery were analysed, and they were compared with staging operation. Results Six eyes recovered, 25 eyes were improved markedly, 10 eyes were improved and 1 eye was invalid. To- tal effective rate was 97.6%. The lacrimal passage obstruction recurred in 15 eyes, however the epiphora in 14 eyes of them was improved. Two eyes of recovered cases were complicated with mild dry eye symptom. And there was no difference between the effect of one-stage surgery and that of staging operations. Conclu- sion The lacrimal passage laser and improved conjunctivochalasis correction is a safe, effective, easy pro- cedure for epiphora. The key points of improved conjunctivochalasis correction are the management of Ten- on＇ s capsule and its fixation on superficial sclera.
出处
《中华眼外伤职业眼病杂志》
2014年第1期58-61,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
激光
泪道
结膜松弛
溢泪
阻塞
泪道
Laser, lacrimal passage
Conjunctivochalasis
Epiphora
Obstruction, lacrimal pas-sage
