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自1982～1985年,我院角膜穿通伤54例治疗的经验体会总结如下:一、一般处理:详细询问受伤经过,检查伤口部位、长度、形状及是否有眼内组织损伤和并发感染。如结膜囊内有大量血块、细沙、睫毛及其它异物者,于表面麻醉下清除干净后再做伤口检查。怀疑球内存留异物者立即 X 光拍片。二、手术:1.麻醉要确实:本组年龄1～66岁。14岁以下儿童的自制能力差,故采用全身麻醉。余则用局麻,但球后注药不易过多。2.本组中,伤口长度3～8mm,均采用钢丝开睑器开睑,同时助手用有齿镊子挟住近角膜缘球结膜固定眼球。但不对眼球施加压力防止眼内容脱出。缝合角膜创口时,一律采用
From 1982 to 1985, our hospital experience of 54 cases of corneal penetrating injury experience summarized as follows: First, the general treatment: ask in detail after injury, check the wound site, length, shape and whether intraocular tissue damage and concurrent infection. If there are a large number of conjunctival blood clots, sand, eyelashes and other foreign bodies, under the surface anesthesia to clean and then do the wound examination. Those who suspect the ball memory foreign body immediately X-ray film. Second, surgery: 1. Anesthesia to be true: The age of 1 to 66 years old. Children under the age of 14 poor self-control, so the use of general anesthesia. I use the local anesthesia, but injection of the ball is not easy after too much. 2. In this group, the wound length of 3 ~ 8mm, are used to open the eyelid eyelid open, while the helper with tweezers holding the corneal conjunctiva near the eye fixed. But do not put pressure on the eye to prevent eye content prolapse. Suture corneal wounds, will be used