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題名 | Sequels, Complications and Management of a Chemical Burn Associated with Cement Splash=水泥混合物濺傷眼表層成功治療病例報告 |
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作者 | 林志雄; 葉龍坤; 林信瓊; 黃朝銘; | 書刊名 | 長庚醫學 |
卷期 | 29:4 民95.07-08 |
頁次 | 頁424-429 |
分類號 | 416.74 |
關鍵詞 | 水泥混合物; 化學物灼傷; 基質膠原纖維; 羊膜移植; Cement; Chemical burn; Stroma; Amniotic membrane grafting; |
語文 | 英文(English) |
中文摘要 | 此報告提出一水泥混合物濺傷眼表層成功治療案例。水泥混合物濺傷眼表層屬於鹹性化學物灼傷。水泥混合物可引起眼角膜基質膠原纖維產生化學結構的改變成為大分子的沉積物和水泥鈣化物嵌入眼角膜基質中。這些沉積物會造成眼角膜上皮壞死及眼角膜變性。若眼角膜輪部組織嚴重被破壞將阻礙眼角膜上皮和基質修復。成功治療關鍵於澈底刮除基質膠原纖維大分子的沉積物和水泥鈣化物。若眼角膜輪部組織嚴重被破壞則需要羊膜移植促進眼角膜上皮和基質修復。 |
英文摘要 | We present a case of successful superficial keratectomy and amniotic membrane grafting to re-establish ocular surface from denuded stroma and significant limbal ischemia caused by a cement splash. We fully documented a case report about the sequels, complications and management strategies of a chemical burn to the eyes associated with a cement splash. Slit lamp examination, visual acuity test as well as all common cultures and stains were performed to measure the outcome. Visual acuity significantly improved from 0.2 to best-corrected visual acuity 0.7 at the 5-month postoperative visit. The cornea regained its clarity. Total re-epithelialization of the injured area was observed. It is of primary importance to remove all the debris from a cement splash at the first available opportunity. Superficial keratectomy and amniotic membrane grafting may be the best methods for the re-epithelialization and reconstruction of the ocular surface. |
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