深板层角膜移植治疗角膜病的临床观察
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Clinical observation of deeper lamellar keratoplasty in the treatment of keratopathy
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    摘要:

    目的:评价深板层角膜移植治疗角膜病的效果。

    方法:回顾行深板层角膜移植术患者5例6眼。使用新鲜同种异体角膜3例,进行角膜巩膜缘的大植片移植,用于蚕蚀性角膜溃疡1例2眼,边缘性角膜变性1例1眼。使用保存角膜3例,进行单纯前部深板层角膜移植,用于单疱病毒性角膜炎后角膜深层斑翳2例2眼,角膜皮样瘤1例1眼。术后随访18mo,观察术后视力、植片透明度和术后并发症情况。

    结果:术前视力:HM/眼前~0.06。随访5眼最佳矫正视力明显提高(0.2~0.5),1眼植片中度混浊,视力(0.05)稍有提高。

    结论:深板层角膜移植治疗角膜病具有较好疗效,容易在基层医院开展。

    Abstract:

    AIM: To evaluate the clinical effects of deep lamellar keratoplasty(DLKP)for keratopathy.

    METHODS: There are 5 cases 6 eyes with mooren's ulcer, margin corneal degeneration, herpes simplex keratitis or corneal dermoid tumor. DLKP with or without scleral ring transplantation were taken in these patients, and a retrospective study was made. All patients were followed up for 18 months. The postoperative complications, postoperative vision, the transparency of tissue lens were observed.

    RESULTS: Their visual acuities were HM/10cm -0.06 preoperatively. In the follow-up, the best-corrected visual acuities of 5 eyes improved obviously, ranging in 0.2-0.5. One eye had moderate turbidity, its visual acuities(0.05)slightly improved.

    CONCLUSION: DLKP is effective and safe for keratopathy, and easy be performed in primary hospital.

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王斌,李长兵.深板层角膜移植治疗角膜病的临床观察.国际眼科杂志, 2012,12(12):2394-2395.

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  • 收稿日期:2012-09-18
  • 最后修改日期:2012-11-19
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