睑板腺按摩防治频发睑板腺囊肿分析

目的 观察分析睑板腺按摩防治频发睑板囊肿的疗效.方法 回顾分析21例病人在经睑板腺按摩治疗前后睑板腺囊肿的再发情况的临床资料.结果 睑板腺按摩后失访4例,余者随访时间5～29月,平均11个月,14例无复发;3例再发睑板腺囊肿,治愈后继续睑板腺按摩4～6次,继续随访12月未见复发.结论 睑板腺按摩是防治频发睑板腺囊肿的有效方法.     

睑板腺囊肿手术时机的选择

睑板腺囊肿旧称霰粒肿,是由于睑板腺出口阻塞,睑板腺分泌物潴留在睑板内而形成的一种无菌性的慢性肉芽肿.该病是眼科临床的常见病和多发病,多见于少儿和青壮年,主要原因为该年龄段人群皮脂腺分泌旺盛,睑板腺阻塞后形成囊肿…,其主要的治疗方法有保守治疗、注射糖皮质激素及切开刮除术.虽然睑板腺囊肿手术是眼科门诊最常见最简单的手术之一,但由于手术时机掌握不好,而造成术后并发症和手术失败者常有发生,因此,选择最佳手术时机显得极为重要.     

睑板腺囊肿术后联合超短波治疗

睑板腺囊肿是眼科临床上常见病,又称霰粒肿。为睑板腺的慢性肉芽肿性炎症,多见于年青人。常见的治疗方法是手术刮除。为了减轻术后眼睑红肿、疼痛,作者对1999年1月至2003年12月间睑板腺囊肿58例行手术刮除术后,再做眼部超短波治疗2～3次,症状明显减轻,止痛效果好,现报告如下。1     

活体共聚焦显微镜下睑板腺囊肿患者睑板腺形态分析

目的:分析睑板腺囊肿患者的睑板腺组织在活体共聚焦显微镜(IVCM)下的形态学改变及特点。方法:采用横断面研究方法,选取2018年9月至2019年4月在汕头大学·香港中文大学联合汕头国际眼科中心就诊的睑板腺囊肿患者34例34眼以及无睑板腺疾病患者18例18眼分别作为睑板腺囊肿组和对照组。对所有受检者进行眼科常规检查及IV...     

石炭酸治疗睑板腺囊肿的临床观察

目的 为提高睑板腺囊肿手术的成功率，探讨减少睑板腺囊肿复发的简易手术方法。方法 对950例睑板腺囊肿采用石炭酸涂睑板腺囊肿的囊壁，观察其疗效。结果 950例睑板腺囊肿均能达到破坏其囊壁的完整性，术后随访7天-6个月，无复发，达到根治目的。结论 石炭酸治疗睑板腺囊肿方法简易、并发症少，是较为理想的手术方法。     

不同手术方式治疗睑板腺囊肿患儿的疗效比较

目的：比较不同手术方式治疗睑板腺囊肿患儿的疗效。

方法：选择150例需要进行睑板腺囊肿手术的儿童,分为传统组和烧灼组,传统组采用传统手术剪除术,烧灼组采取囊肿摘除聚维酮碘棉片烧灼法,观察两组患儿平均手术时长、发生血肿的概率、治愈率、复发率及家属满意程度。

结果：传统组和烧灼组患儿一般资料无差异(P>0.05)。传统组和烧灼组平均手术时间分别为14.5±2.58、12.29±1.53min(P<0.05); 发生血肿的概率为21.3%、9.3%,烧灼组少于传统组(P<0.05); 烧灼组和传统组的总有效率分别为97.3%、89.3%(P>0.05),复发率烧灼组患儿较少,但两组比较无差异(P>0.05); 烧灼组患儿家属满意度为97.3%,好于传统组86.7%(χ²=4.832,P<0.05)。

结论：囊肿摘除加聚维酮碘棉片烧灼可降低睑板腺囊肿患儿手术时间和血肿率,治愈率较高。     

改良的睑板腺囊肿刮除术

传统的睑板腺囊肿刮除术 ,效果很好。但是在剪除囊壁时对周围正常组织损伤相对较大。因此 ,我们在临床工作中 ,对手术方法进行了一点改良。于 1999年 6月～ 2 0 0 1年 3月对 87例睑板腺囊肿患者施行了改良的睑板腺囊肿刮除术 ,收到良好效果。现报告如下 :一般资料本组 87例 ,男 5 2例 ;女 ,3 5例。上睑 61例 ,下睑 2 6例。年龄 8～ 47岁 ,平均 2 3 5岁。睑板腺囊肿小如黄豆 ,大如樱桃。方　法1.在局麻下用睑板腺囊肿镊挟住睑板腺囊肿部位的眼睑。在睑结膜面垂直于睑缘切开囊肿 ,切口大小约 3ｍｍ。2 用锐利的刮匙尽量地将囊肿内容物及囊壁…     

儿童睑板腺囊肿合并感染168例手术及超短波治疗

目的探讨手术及超短波治疗合并感染的儿童睑板腺囊肿临床疗效。方法对168例40d~6岁的睑板腺囊肿合并感染患儿行手术治疗及术后超短波理疗,并进行追踪观察及统计分析。结果局部硬结消失为治愈。153例术后恢复良好,局部包块消失,眼睑平坦,无明显瘢痕。15例局部包块消失,眼睑微量瘢痕组织,无红肿。经过半年随访,4例复发。结论儿童睑板腺囊肿并感染保守治疗效果差,手术治疗及术后超短波理疗安全有效。     

石碳酸辅助治疗睑板腺囊肿的临床观察

目的:为提高睑板腺囊肿手术的成功率,探讨减少睑板腺囊肿复发的简易手术方法。方法:对950例睑板腺囊肿采用石碳酸涂睑板腺囊肿的囊壁,观察其疗效。结果:950例睑板腺囊肿均能达到破坏其囊壁的完整性,术后随访7d~6mo,无复发,达到根治目的。结论:石碳酸治疗睑板腺囊肿方法简易、并发症少,是较为理想的手术方法。     

A prospective study of cost, patient satisfaction, and outcome of treatment of chalazion by medical and nursing staff

AIM: To study prospectively the outcome of conservative and surgical treatment of chalazia provided by medical and nursing staff. METHODS: During a 5 month recruitment period all patients attending a district general eye hospital for treatment of chalazion were included in the study. 129 patients (217 visits) with chalazia were seen by either a senior nurse or a trainee ophthalmologist (senior house officer, SHO) or both. Patients received either conservative treatment or eversion of the eyelid with incision and curettage. Patients were mailed a questionnaire asking them if their cyst had resolved and how they rated their treatment. Marginal cost analysis was used to determine the cost of treatment. RESULTS: The outcome of treatment could be determined in 170 of the 217 visits. Conservative treatment was successful for 29% of cysts while surgical treatment was successful for 72%. There was no significant difference in treatment outcome between nurse and SHO groups. Patients found nurse treatment acceptable with a high level of patient satisfaction. The marginal cost of treatment by a nurse was 9.91 pounds sterling per cyst compared with 12.10 pounds sterling for SHOs. There were no surgical complications and no evidence of malignancy in six biopsies. CONCLUSIONS: Surgical treatment of chalazion is safe and effective and successfully treats approximately three quarters of selected cysts. With conservative treatment approximately one third of selected chalazia will resolve within 3 months. Nurse treatment of chalazion is safe, effective, and acceptable to patients.     

Complications of the combined cataract-keratoplasty operation]

The results of 43 corneal graft operations combined with cataract extraction were investigated. The visual acuity was improved in 63% of cases in spite of the fact that some eyes were suffering from additional diseases or had prior operations. Complications of surgical procedure were rare. Postoperatively a raise of intraocular pressure was sometimes noted. In postinflammatory and post-traumatic cases, corneal opacifications were frequent, but they were rare in keratoconus or in endothelial corneal dystrophies.     

Angiotensin-converting enzyme in sarcoid and chalazion granulomas of the conjunctiva

Angiotensin-converting enzyme (ACE) was studied immunohistochemically in conjunctival biopsies from 6 patients with systemic sarcoidosis, 4 patients with posterior non-sarcoid uveitis and in specimens from 4 patients with chalazion of the eyelid. Specimens with sarcoid granulomas showed intense ACE-positive immunoreactivity in epitheloid cells of the granuloma, whereas chalazion granulomas did not contain ACE-immunoreactivity. There was no difference in staining patterns between specimens without granulomas. Thus immunohistochemical staining for ACE may be of help in differentiating conjunctival granulomatous tissue of a chalazion from sarcoid granuloma.     

Intralesional corticosteroid injection in the treatment of chalazion

OBJECTIVE: To evaluate the efficacy of intralesional corticosteroid injection in the treatment of chalazia in black African patients. METHODS: In a prospective study conducted between February 1999 and February 2000, 25 black African patients with chalazion (25 eyes, 29 chalazia), ranging in age from 15 to 54 years (mean age +/- SD, 30.6+/-9 years), were treated with intralesional triamcinolone (injection of 0.075 - 0.5 ml triamcinolone acetate at a 5-mg/ml concentration). RESULTS: Success was achieved in 18 (72%) of 25 patients [20 (74%) out of 27 eyes, 22 (76%) out of 29 chalazia)]. In 11 of 25 patients, two intralesional injections were necessary to obtain these results. Recurrence occurred in five eyes (five chalazia, 17%) after 5-6 weeks. During a mean +/- SD of 4.68 months (range, 3.5-12 months) of follow-up, no postinjection ocular complication occurred. CONCLUSION: Intralesional corticosteroid injection appears to be effective in managing chalazion in black African patients, as reported in previous studies in Caucasian patients. This treatment can be used when curettage is contraindicated.     

白细胞介素-6在瞼板腺囊腫組識中的表達

目的 为观察睑板腺囊肿组织中白细胞介素-6(IL-6)的异常表达,探讨睑板腺囊肿的确切病因。方法 采用SABC免疫组织化学染色法,对42例睑板腺囊肿内容物中白细胞介素-6(IL-6)的分布与表达进行研究。结果 研究显示42例中30例呈阳性表达,12例阴性。结论 白细胞介素-6的异常表达与睑板腺囊肿发生关系密切。