Surgical scene.
Red Net Moment December 31 (Correspondent Zhou Qiao) On December 29, Zhu Jundong, director of the Eye Trauma Department of Changsha Aier Eye Hospital, successfully performed the "glass cutting + folding artificial vitreous balloon implantation" for a patient with serious eye trauma, which is worth mentioning that this is the first time that Aier Ophthalmology has treated severe eye trauma through internal vitreous balloon implantation surgery.
Mr. Gu, a 55-year-old from Zhangjiajie City, Hunan Province, was accidentally struck in the left eye by an iron nail while working at a construction site on December 16, followed by severe pain, blindness, and a small amount of bleeding. After rushing to Changsha Aier Eye Hospital, Zhu Jundong conducted a detailed examination for Mr. Gu for the first time, and found that his left eye conjunctiva was mixed with congestion, a oblique full-layer fissure wound could be seen in the cornea, and a large number of eye contents were detached and incarcerated, which was diagnosed as "left corneal scleral laceration", "left eye traumatic anterior chamber hematocrit", "left eye endophthalitis" and "left eye internal foreign body", the situation was very serious, and it was urgent to be hospitalized for surgery.
On the 16th, Zhu Jundong performed a phase of surgery for Mr. Gu, debridement and suturing of his left cornea, and further clarified his intraocular condition through scleral probing, followed by vitreous cavity injection. On the 29th, according to the established treatment plan, Zhu Jundong performed the "glass cutting + folding artificial vitreous balloon implantation" for Mr. Gu.
What is a "folding artificial vitreous balloon"?
Zhu Jundong introduced that it is a "bag" that simulates the shape of the natural vitreous cavity of a simulated human, which is very consistent with the shape of the vitreous body, and it is first implanted into the eye through a minimally invasive incision, and then injects silicone oil into the "bag" through a drainage valve to achieve long-term stability of the top pressure retina, restore the maintenance and support function of the natural vitreous body on the shape of the eyeball, and avoid the direct contact between the filling medium (silicone oil) and the tissue structure in the eye and bring adverse reactions.
How can the "folding artificial vitreous balloon" help patients with eye trauma?
Severe eye trauma is one of the leading causes of blindness. Such patients often cannot avoid eye atrophy after receiving traditional vitreous cutting combined with silicone oil filling surgery because of silicone oil emulsification, secondary glaucoma, silicone oil dependence, silicone oil toxicity to the cornea and retina, and even require eye removal surgery, which brings huge physical and psychological trauma and economic losses to patients. Artificial vitreous balloon implantation solves the problems that the vitreous substitute cannot stay in the eye for a long time, cannot press the retina for a long time or requires repeated surgery, avoids the risk of repeated replacement of silicone oil and eyeball removal, and is more conducive to the improvement of patients' mental health and quality of life.
On the second day after the operation, Mr. Gu did not have any uncomfortable reaction, the position of the sac was ideal, the retina was flat, and the expected effect was successfully achieved. Director Zhu Jundong said that this operation is a beneficial exploration for the treatment of serious eye trauma, and next, the medical team of the department will continue to study and improve to benefit more patients with eye trauma in need.
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