熟石灰(Ca(OH)_2)是常见的一种强碱性化合物,在工农业生产中应用广泛,溅入眼内往往导致眼球穿孔、视功能丧失甚至眼球萎缩。我们用板层角巩膜移植术治疗2例重度致角巩膜碱烧伤获得成功,现报告如下。 一、病例介绍 例一:钱××,女,42岁,因左眼被熟石灰液烧伤8小时,于1983年3月8日急诊入院。眼科检查:右眼正常,左眼视力眼前手动,睑痉,睑球结膜水肿,下方苍白坏死,角膜全部呈雾状混浊,眼内结构均不清,眼压Tn。诊断为角巩膜重度碱烧伤。 治疗经过:入院后即予生理盐水反复冲洗结膜囊,前房穿刺,同时给予维生素C、血管扩张剂、自血交替结膜下注射、扩瞳、全身用抗生素及短期激素等治疗。炎症控制,自觉症状减轻,下方巩膜坏死区 Hydrated lime (Ca (OH) 2) is a common strong alkaline compound, widely used in industrial and agricultural production. It often leads to eyeball perforation, loss of visual function and even atrophy of the eye. We use lamellar scleral transplantation for the treatment of 2 cases of severe scleral alkali burns were successful, are as follows. First, the case introduction Example 1: Money × ×, female, 42 years old, because the left eye was cooked lime burned for 8 hours in March 8, 1983 emergency hospital admission. Eye examination: the right eye is normal, left eye vision in front of manual, blepharospasm, eyelid conjunctival edema, the lower pale necrosis, the cornea all cloudy, intraocular structure are not clear, intraocular pressure Tn. Diagnosis of scleral severe alkali burn. After treatment: After admission to saline repeatedly rinse conjunctival sac, anterior chamber puncture, given vitamin C, vasodilators, subluxation of subconjunctival autologous blood injection, dilation, the body with antibiotics and short-term hormones and other treatment. Inflammation control, subjective symptoms relieved, sclera necrosis area below