结膜松弛症是由于球结膜过度松弛和/或下睑缘张力高,造成松弛球结膜堆积在眼球与下睑缘,在内外眦部之间形成皱褶,引起眼表泪液学异常,并伴有眼部干涩、异物感、泪溢等眼部不适症状的疾病。近年来,国内眼科医生逐渐对这一疾病提高了认识,其治疗手段亦得到越来越多的重视和应用。结膜松弛症的严重程度决定了其不同的治疗方法。症状不明显的结膜松弛症不需治疗;眼部刺激症状严重者,可以给予药物治疗;而保守治疗无效,或是对于Ⅲ～Ⅳ级结膜松弛严重的患者,则选择手术治疗。结膜松弛症的手术方法多种多样,但要达到最好的治疗效果,应该权衡各种方法的利弊,掌握其适应证。我们对结膜松弛症的这些治疗方法及其优缺点、适应证,以及近年来的研究进展进行综述。

Conjunctivochalasis is due to over loose of bulbar conjunctiva and/or high tension of the lower eyelid,which results in loose bulbar conjunctiva accumulating to form a wrinkled conjunctiva among the globe and the lower eyelid,the inner and the outer canthus of eye,causing ocular surface tear system abnormality,and with ocular discomfort and other symptoms,such as dry,foreign body sensation and epiphora. In recent years,domestic ophthalmologists have gradually deepened the understanding of this disease,whose treatment means have been increasingly recognized and applied. The treatment of conjunctivochalasis depends on its order of severity. These which have no noticeable symptoms needs no treatment. Those with severe ocular irritation can be given medical therapy. If the conservative treat-ment is not effective,or for severe cases in Grade Ⅲ-Ⅳ,surgeries will be considered. The surgical methods of conjunctivochalasis are various. However,for best thera-peutic effect,it is necessary to weigh their advantages and disadvantages,and to master their indications. This article is to make a brief overview of advantages,disadvantages and indications of these surgical methods,and research progress of the treatment of conjunctivochalasis in recent years as well.

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