前房穿刺在角膜全层裂伤修补术中的应用

目的：探讨前房穿刺术在角膜全层裂伤修补术中应用的方法及结果。方法：将1995至1998年复杂性角膜裂伤分为A、B两组。A组：常规缝合，由创口或辅助切口恢复前房及解除前粘连；B组：缝合时常规行前房穿刺术，由穿刺口恢复前房及解除前粘连。结果：术中器械进入前房次数≥2次；A组28上,B组3眼；后弹力层剥脱：A组6眼，B组1眼；缝线松驰、创口漏水：A组7眼，B组0眼；术后虹膜前粘连：A组12眼，B组12眼，P＜0．01。结论：角膜全层裂伤修复术中应用前房穿刺术安全有效。

Application of paracentesis to the operation of corneal leceration repairment surtural

OBJECTIVE: To investigate the method and results of that prracentesis is appplyed during the operation ofcorneal leceration repairment surtural. METHODS: Complicated corneal leceration cases were divided in to A group and Bgroup from 1995 to 1998 year. A group: routine sutur; B group: making routine paracentesis during sutur. RESULTS: timesof instrument going in and out anterior chamber during operation ≥2; A group: 28 eyes, B group: 3 eyes. Descemet member ane detachment: A group 6 eyes, B group 1 eye; Discontinuos sutur make the wound exudate: A group 7 eyes, B group 0 eye. Post operative anterior sgnechias: A group 12 eyes, B group 2 eyes, etc; P< 0.01. CONCLUSION: Psratentesis was safeand effective on operation of corneal leceration.