摘要
目的 :观察球结膜松弛与泪溢的关系 ,探索手术治疗的效果。方法 :选择 2 4例 46只眼球结膜松弛并有泪溢患者系统观察 ,由于球结膜松弛阻碍了泪液的流向 ,或直接堵塞下泪小点开口处 ,引起泪溢 ,故手术切除松弛的球结膜以解除泪溢。随访 2～ 8周。结果 :切除松弛结膜术后 4周 :78 2 %患者自觉泪溢得到改善 ;6 0 8%患者室内观察泪溢消失 ;78 2 %患者裂隙灯检查结膜松弛完全消除。结论 :结膜松弛症是泪溢的主要原因之一 。
Objective:To investlgate the relationship between relaxed bulbar conjunctiva(conjunctivochalasis) and epiphora,and the effect of excision of the relaxed bulbar conjunctiva.Methods:24 patients (46 eyes) with epiphora were studied.As the cause of epiphora was found to be the relaxed bulbar conjunctiva,which disrupted mechanically the tear flow,or blocked the lower lacrimal punctum.All patients were treated by excision of the relaxed conjunctiva,and were followed up 2～8 weeks.Results:In 17 eyes(78.2%) epiphora improved,and 13 eyes(60.8%)no epiphora indoors.Slit lamp microscopic examination showed no relaxed conjunctiva in 17 eyes (78.2%).Conclusion:One of the causes of epiphora is relaxed bulbar conjunctiva,and excision of the relaxed bulbar conjunctiva may cure the epiphora.
出处
《眼科》
CAS
2001年第4期224-226,共3页
Ophthalmology in China
关键词
结膜疾病
外科学
泪溢
conjunctival diseases/surg
epiphora
