http://tw.news.yahoo.com/article/url/d/ ... 1miuz.html
更新日期:2009/07/06 11:14 李柏勳
【台灣醒報記者李柏勳報導】一名英國男子在工安意外導致失明十二年之後,最近在外科手術的協助下重見光明,而手術的方式,居然是把他自己的一截牙齒植入眼睛裡面。
現年四十二歲的馬汀.瓊斯,十二年前在廢物處理廠工作時,不慎被一桶高溫的液態鋁濺到臉部。熔融狀態下的鋁液,溫度至少在660 °C以上。瓊斯全身有37%的面積嚴重灼傷,左眼也被移除。原本醫生設法保住瓊斯的右眼,並試圖以幹細胞療法讓他復明,但這項嘗試最後以失敗告終。
然而,在接受了布萊頓市(Brighton)薩西克斯眼科醫院(Sussex Eye Hospital)劉瑞周醫師的手術之後,瓊斯終於再度見到了他睽違十二年的彩色世界,還有結褵四年的妻子吉兒。
瓊斯說,當醫生幫他把繃帶拆掉之後,感覺好像是透過一層水在看東西。「然後我看見了吉兒。她真是美極了。」
劉瑞周出生於香港,十五歲時便赴英深造,曾任英國雷射矯視學會主席,現為薩西克斯眼科醫院的眼科手術顧問,是目前英國唯一有能力實行「骨齒人工角膜手術」(Osteo-Odonto-Keratoprosthesis)的醫師。這種手術過程複雜,通常只有在病患角膜或眼部有嚴重病變或損害,一般的角膜移植手術成功率極低時,才會被考慮。
首先,醫生取出瓊斯的一顆犬齒,將其鑿穿,置入特殊的鏡片,並且將瓊斯的一塊口腔表皮移植到右眼上。
兩個月之後,移植的口腔表皮已經和增生的血管融為一體,此時醫生便將改造過的犬齒植入瓊斯眼內,光線便可透過犬齒上的鏡片,直接投影到視網膜上。使用牙齒的原因,是因為塑膠植入物產生排斥反應的可能性很大,因此選用形狀以及大小都很合適的犬齒代替。移植口腔表皮,則是為了避免牙齒組織壞死。
術後不到兩個星期,瓊斯右眼的視力就回復到幾近完美的狀況。「我高興極了,真的不知道該怎麼形容我的心情。」瓊斯興奮地說,能夠再一次看見這個世界,徹底改變了他的人生。「這是一份美麗的禮物,然而在被奪去之前我卻不曾珍惜。能夠親眼看著世界在身旁周遭不停地流動,對現在的我來說,就是莫大的喜悅。」
(圖片來源 : 網路資料照片)
拿牙齒當眼睛 英盲人見天日
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- braveheart8149
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Re: 拿牙齒當眼睛 英盲人見天日
去年三月好像也有一則這樣的新聞,主角名不同,醫師同一位,不知是不是同一事件。
http://club.100p.net/pweb/bbs/viewthrea ... a=page%3D3
「骨齒人工角膜手術」(Osteo-Odonto-Keratoprosthesis <OOKP>)是很難的手術嗎 ??
不是眼科的,不清楚。
不過,它的手術過程還真有趣。
An operation to graft the OOKP is undertaken in severe pemphigoid, chemical burns, Stevens-Johnson syndrome, trachoma, Lyell syndrome and multiple corneal graft failure.
Procedure
OOKP is a complex two stage Operation which was pioneered in Italy in the 1963 by professor Strampelli.
Stage 1 of the surgery involves 5 separate procedures:
1. The eye is opened up and the entire inner surface of the eyelids, corneal surface and all scar tissue is removed.
2. Inner mucosal lining of the cheek is transplanted onto the new surface of the eye
3. A canine or premolar tooth and part of the adjacent bone and ligaments are removed.
4. A bolt-shaped structure is fashioned from the tooth-bone complex which is fitted with a plastic optical cylinder.
5. The tooth-bone-cylinder complex is implanted into the patient's cheek to grow a new blood supply.
Stage 2 (about 4 months later) involves 2 separate procedures:
1. The cheek mucosal lining over the eye is opened and the inner contents of the eye are removed.
2. The tooth-bone-cylinder complex is removed from the cheek and inserted into the eye, the mucosal cheek lining is replaced over the implant.
At the end of the procedure, light can now enter through the plastic cylinder, and the patient is able to see through this cylinder with good vision.
OOKP 出處: http://en.wikipedia.org/wiki/Osteo-Odon ... prosthesis
http://club.100p.net/pweb/bbs/viewthrea ... a=page%3D3
「骨齒人工角膜手術」(Osteo-Odonto-Keratoprosthesis <OOKP>)是很難的手術嗎 ??
不是眼科的,不清楚。
不過,它的手術過程還真有趣。
An operation to graft the OOKP is undertaken in severe pemphigoid, chemical burns, Stevens-Johnson syndrome, trachoma, Lyell syndrome and multiple corneal graft failure.
Procedure
OOKP is a complex two stage Operation which was pioneered in Italy in the 1963 by professor Strampelli.
Stage 1 of the surgery involves 5 separate procedures:
1. The eye is opened up and the entire inner surface of the eyelids, corneal surface and all scar tissue is removed.
2. Inner mucosal lining of the cheek is transplanted onto the new surface of the eye
3. A canine or premolar tooth and part of the adjacent bone and ligaments are removed.
4. A bolt-shaped structure is fashioned from the tooth-bone complex which is fitted with a plastic optical cylinder.
5. The tooth-bone-cylinder complex is implanted into the patient's cheek to grow a new blood supply.
Stage 2 (about 4 months later) involves 2 separate procedures:
1. The cheek mucosal lining over the eye is opened and the inner contents of the eye are removed.
2. The tooth-bone-cylinder complex is removed from the cheek and inserted into the eye, the mucosal cheek lining is replaced over the implant.
At the end of the procedure, light can now enter through the plastic cylinder, and the patient is able to see through this cylinder with good vision.
OOKP 出處: http://en.wikipedia.org/wiki/Osteo-Odon ... prosthesis
- herotopone
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