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Scleral Contact Lens as Initial Management in a Neonate With a Large Upper Eyelid Coloboma.
Ophthalmic Plastic and Reconstructive Surgery ( IF 1.2 ) Pub Date : 2021-09-24 , DOI: 10.1097/iop.0000000000002057
Zachary Q Mortensen 1 , Brittany A Simmons , Erin M Shriver , Keith D Carter , Sara J Downes
Affiliation  

A neonate presented with a large full-thickness upper eyelid coloboma with near-complete exposure of the cornea. After failing lubrication and a moisture chamber, he was fit with a customized scleral contact lens that protected the ocular surface. It was tolerated well, and ocular surface health was maintained for 13 months to permit the growth of eyelid tissue for future oculoplastic surgery. Delaying reconstruction by using scleral contact lenses as management for large eyelid colobomas has not been previously described. A temporizing measure such as this could be considered for large eyelid colobomas in neonates.

中文翻译:

巩膜隐形眼镜作为患有大上眼睑缺损的新生儿的初始治疗。

一名新生儿出现上眼睑全层大面积缺损,角膜几乎完全暴露。在润滑和保湿室失败后,他戴上了定制的巩膜隐形眼镜以保护眼表。它的耐受性良好,眼表健康可维持 13 个月,以便眼睑组织生长,以便将来进行眼部整形手术。之前尚未描述过使用巩膜隐形眼镜来延迟重建以治疗大眼睑缺损。对于新生儿大眼睑缺损,可以考虑采取这样的临时措施。
更新日期:2021-09-24
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