Clinicopathologic study of Gore-Tex patch graft in corneoscleral surgery.

Clinicopathologic study of Gore-Tex patch graft in corneoscleral surgery.
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Gore-Tex 补片移植在角巩膜手术中的临床病理学研究。

DOI:
10.1097/00003226-199401000-00015
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发表时间:
1994
期刊:
影响因子:
2.8
通讯作者:
S. Chang
S. Chang
中科院分区:
医学3区
文献类型:
--
作者:
W. J. Huang;F. Hu;S. Chang

文献摘要

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本文报告用Gore-Tex植片治疗角膜、巩膜缺损3例,其中角膜溃疡、蚕蚀性角膜溃疡、坏死性巩膜炎各1例。这些眼睛在Gore-Tex移植后仍然发炎。移植与取出的间隔时间为2个月至1年。病理学上,这些移植物均未显示Gore-Tex移植物的明显上皮或纤维组织长入。在一个移植物中发现真菌栖息,在移植物移除和穿透性角膜移植术后5个月发生真菌性眼内炎。虽然Gore-Tex提供了一些优点,但当在没有足够结膜覆盖的情况下使用时,它具有缺点,包括上皮形成差、移植物与周围组织之间的粘附差以及潜在的感染途径。
Three patients with corneal or scleral defects were treated with Gore-Tex grafting, including one case of corneal ulcer, one case of Mooren's ulcer, and one case of necrotizing scleritis. These eyes remained inflamed after Gore-Tex grafting. The interval between grafting and removal ranged from 2 months to 1 year. Pathologically, none of these grafts showed evident epithelial or fibrous tissue ingrowth of the Gore-Tex graft. Fungal inhabitation was noted in one graft, and fungal endophthalmitis developed 5 months after graft removal and penetrating keratoplasty. Although Gore-Tex offers some advantages, it has disadvantages when it is used without adequate conjunctival covering, including poor epithelialization, poor adhesion between graft and surrounding tissue, and potential infectious route.