Jingbao news (reporter Wang zhuofen, correspondent Chen Xiaohui, provided by the interviewee) what about the broken eyeball? In the past, one case of this kind of patients was filled with silicone oil, but there was a problem that the eyeball could not be preserved after repeated operations; the other was directly removed and implanted. High technology gives patients a better choice. On July 15, two patients received foldable artificial vitreous balloon implantation in Shenzhen Eye Hospital, which saved their eyeballs. This is the first time in Shenzhen.
A year ago, Mr. Chen's eyes were hurt by his fist and his eyeballs were blown out. He could only see his hands shaking within 10 cm of his eyes. He could only see his hands shaking up and down in front of his eyes, left and right. He could not distinguish the light source. His eyes were "bruised all over", eyeballs collapsed, blood accumulated in his eyes, corneoscleral margin split more than half of the wounds, retinal detachment Mr. Chen has received operations such as suture of eyeball laceration, repair of retina laceration and silicone oil filling. Silicone oil filling is to fill the eyes of patients with a substance called silicone oil. However, silicone oil is prone to metamorphism and emulsification for a long time. The replacement of silicone oil, dependence on silicone oil and long-term complications of silicone oil filling have always been a problem in the field of Ophthalmology. After filling with silicone oil, Mr. Chen carried out two more silicone oil replacement, which is dependent on silicone oil.
The patient, Mr. Ru, was injured 20 days ago by a high-pressure tube that exploded in his left eye.
On July 15, under the guidance of Professor Lin Xiaofeng, Zhongshan Eye Center, Sun Yat sen University, Qin Bo, vice president of ophthalmic trauma department and Liu Shenwen, director of Shenzhen Eye Hospital, carried out foldable artificial vitreous ballon implantation for two patients. The patients responded well after operation.
According to Qin Bo, the vitreous body accounts for 4 / 5 of the volume of the human eye, which supports the retina and maintains intraocular pressure. Once the vitreous body is damaged, it must be filled with a suitable artificial vitreous substitute. In the past, this kind of patients need to be filled with silicone oil, but the possibility of repeated surgery to ultimately save the eyeball is uncertain.
According to reports, the foldable artificial vitreous balloon used in this operation is the latest international vitreous substitute, which can be used in vivo for more than 20 years, and can restore the main physiological functions of natural vitreous, such as retinal support, refraction, cell barrier, etc., and also solve the problem that the vitreous substitute can not stay in the eye for a long time, can not top the retina for a long time, or needs repeated surgery or even eyeball removal Apart from other problems.
"Removing eyeballs and implanting artificial eyes are easy to cause severe psychological pressure on patients. The past repeated silicone oil treatment also brings heavy burden to patients' families. This new technology and new material brings new hope to patients with eye injury." According to Qin Bo, this kind of operation only needs to open the mouth of the eye 3-4mm and implant the artificial vitreous body. Other parts of the eye remain the same, with small trauma and more natural appearance and movement. After the operation, we only need to pay attention not to overuse the eyes and strenuous exercise, and we can live like normal people. The artificial vitreous balloon is suitable for 18-65 years old patients with severe ocular trauma and retinal detachment.