继发性角膜溃疡的临床治疗  

Clinical treatment of secondary corneal ulcer

作　　者：靳雷[1] 崔建萍[1] 

机构地区：[1]中国江苏省徐州市第一人民医院眼科徐州市眼科医院,221002

出　　处：《国际眼科杂志》2009年第10期1976-1978,共3页International Eye Science

摘　　要：目的：探讨继发性角膜溃疡的临床治疗方案。方法：回顾性分析我院2006-12/2008-12临床诊断为＂继发性角膜溃疡＂的患者8例8眼,其中4例选择结膜瓣遮盖术,3例行部分板层角膜移植术（lamellar keratoplasty,LKP）,1例因角膜穿孔行穿透性角膜移植术（penetratingkeratoplasty,PKP）。术后随访4-10（平均6）mo,观察视力、溃疡愈合及复发情况、角膜植片和植床情况。结果：行结膜瓣遮盖术者溃疡均治愈;行部分LKP术者植片透明,植床残留薄层瘢痕,行PKP术者植片透明,两者视力均有所提高。所有病例溃疡未见复发。结论：对于继发性角膜溃疡,应该根据不同病例的特点采取个体化的手术方式治疗,从而获得比较满意的临床疗效。AIM： To explore the clinical treatment protocols of secondary corneal ulcer. METHODS： Eight patients （8 eyes） diagnosed as ＂ secondary corneal ulcer＂ from December 2006 to December 2008 were retrospectively analyzed, of which 4 patients underwent conjunctival flaps, three underwent partial lameller keratoplasty（LKP）, and one was changed for penetrating keratoplasty（PKP） because of perforation in cornea during the surgery . All patients were followed up for 4 to 10 months （6 months on average） after surgery. Visual acuity, ulcer healing and recurrence, corneal implant and situation of plant bed were recorded. RESULTS： The ulcers were cured by conjunctival flap; both LKP and PKP allografts were transparent and visual acuity increased, except for a thin layer of scar on every recipient cornea in LKP. CONCLUSION： For secondary corneal ulcer , we can use individual surgery according to the feature of every patient and obtain satisfactory effect.

关 键 词：继发性角膜溃疡 结膜瓣遮盖术 板层角膜移植术 穿透性角膜移植术 

分 类 号：R772.21[医药卫生—眼科]