Microsurgical treatment for corneoscleral melting in severe ocular burns
- VernacularTitle:严重眼烧伤角巩膜溶解的显微手术治疗
- Author:
Zhenfang WANG
;
Xuefu TANG
;
Nuo DONG
- Publication Type:Journal Article
- Keywords:
Cyanoacrylate tissue adhesive;
Amniotic membrane;
Transplantation;
Ocular burns;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2000;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the strategy using cyanoacrylate tissue adhesive (CTA) in amniotic membrane transplantaton(AMT) to manage corneoscleral melting in severe ocular burns. Methods Twelve eyes from eleven patients with chemical or thermal burns of grade Ⅳ were recruited for this study.After medical treatment failed to arrest corneal or sclera melting,CTA were applied directly on the ulcerating corneal or sclera surface to augmented AMT. Results In all cases,all sclera ulcerations (five of eleven) were prevented or healed,epithelialization of burned cornea (eight of eleven) was complete,corneal ulceration in the rest three eyes was successfully arrested. Conclusion Tissue adhesive aided amniotic membrane transplantation is a promising altermnative in managing severe corneoscleral melting in chemical or thermal burns to maintain the integrity of the ocular wall.
