肺构造障碍保护隐形眼镜

Michael Bärtschi
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摘要

目的。本病例报告描述了双侧严重视力障碍、严重眼痛和眩光敏感患者的绷带隐形眼镜的配戴及其对患者生活的康复效果。材料和方法。1例49岁女性双侧眼睑下垂-下垂-内眦下垂综合征(BPES)及双侧新营养性溃疡患者,因明显的不完全性眨眼OD和几乎不活动的眼睑OS及双侧上睑下垂而导致的眼lagmomos,结构化配镜及视力康复。结果。在连续佩戴模式下,通过对生理上可接受的绷带隐形眼镜进行结构化和有针对性的装配,几乎可以消除患者所有限制视觉和病理生理症状,如眩光敏感和疼痛。矫正视力可由光感提高到1.0−2。患者再次参加正常的工作和休闲生活,并完全重新融入社会。结论。绷带隐形眼镜在日常临床实践中使用。即使在严重的病例中,目标导向的矫正手术也能使患者的视力和社会功能完全恢复。应用的领域是多方面的,有关的病人非常感谢快速和简单的帮助。眼睑下垂-下垂-内眦赘肉综合征;绷带接触镜;康复
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Therapeutische Schutzverbandskontaktlinsen bei Blepharophimose-Ptosis- Epicanthus-inversus-Syndrom
Purpose. The case report describes the fitting of bandage contact lenses for bilateral severe visual impairment, severe ocular pain and glare sensitivity and the rehabilitative effect on the life of the affected patient. Material and Methods. Structured fitting of silicone hydro- gel bandage contact lenses and visual rehabilitation in a 49-year-old female patient with bilateral blepharophimo- sis-ptosis-epicanthus-inversus syndrome (BPES) and neu- trophilic ulceration bilaterally, as a result of lagophthalmos in marked incomplete blink OD and nearly inactive eyelids OS and bilateral ptosis. Results. By means of structured and targeted fitting of phys- iologically acceptable bandage contact lenses in continuous wear modality, almost all limiting visual and pathophysiological symptoms of the patient such as glare sensitivity and pain could be eliminated. The corrected visual acuity could be increased from light perception to 1.0−2. The patient again participates regularly in normal work and leisure life and is fully reintegrated into society. Conclusion. Bandage contact lenses are used in daily clinical practice. A goal oriented fitting procedure often allows a com- plete visual and social rehabilitation even in severe cases. The field of application is multifarious, and the patients concerned are very grateful for the rapid and uncomplicated help. Keywords blepharophimosis-ptosis-epicanthus-inversus syndrome, bandage contact lens, rehabilitation
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