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大泡性角膜病变多并发于绝对期青光眼,治疗较困难。许多患者常因疼痛难忍要求行眼球摘除。近年来,我们采用角膜浅板层切除术治疗了三例大泡性角膜病变,收到满意效果。现报告如下。手术方法;1%地卡因表面麻醉及2%普鲁卡因角膜内浅层浸润麻醉后,用小圆刀片行角膜板层切除,深度不超过1/4角膜厚度。切除时回避角膜斑痕。术毕球结膜下注射庆大霉素2万u 及地塞米松2.5mg,涂抗生素眼膏后包扎。例1:谢××男32岁右眼角膜穿
More bullous keratopathy and complicated by absolute glaucoma, the treatment is more difficult. Many patients often require eyeball removal due to pain. In recent years, we used shallow corneal resection of the three cases of bullous keratopathy, received satisfactory results. The report is as follows. Surgical methods; 1% dexamethasone anesthesia and 2% procaine intra-corneal shallow infiltration anesthesia, with a small round corneal lamellar resection, the depth of no more than 1/4 corneal thickness. Avoid corneal scar excision. Surgery, subconjunctival injection of gentamicin 20000 u and dexamethasone 2.5mg, coated with antibiotic ointment after dressing. Example 1: Xie × × male 32-year-old right corneal wear