深板层角膜移植术治疗圆锥角膜疗效观察  

Efficacy observation of deep lamellar keratoplasty for the treatment of keratoconus

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作  者:肖丽[1] 吴彦超[1] 王东[1] 王鑫[1] 

机构地区:[1]河北省眼病治疗中心邢台市眼科医院,中国河北省邢台市054001

出  处:《国际眼科杂志》2011年第10期1752-1754,共3页International Eye Science

摘  要:目的:评价深板层角膜移植治疗圆锥角膜的效果。方法:采用深板层角膜移植术治疗132例140眼圆锥角膜,对其疗效进行观察分析。术后随访6~48mo。结果:术后矫正视力0.2~0.4者13例14眼,~0.8者92例96眼,>0.8者27例30眼,发生排斥反应5眼,植片透明131例139眼,半透明1例1眼,8眼出现后弹力层皱褶。结论:深板层角膜移植术具有并发症少,能减少内皮型排斥反应的发生,术后视力好,且对供体材料要求较低等优点,为治疗圆锥角膜提供了安全有效的选择。AIM:To evaluate the effect of deep lamellar keratoplasty for the treatment of keratoconus.METHODS:Deep lamellar keratoplasty was applied for treatment of 132 cases (140 eyes) with keratoconus.The effectiveness of operation was clinically observed and evaluated.Postoperative follow-up were 6- 48 months.RESULTS:The postoperative corrected vision was 0.2- 0.4 in 13 cases (14 eyes),0.4- 0.8 in 92 cases (96 eyes),0.8 in 27 cases (30 eyes).Rejection occurred in 5 eyes,clear graft in 131 cases (139 eyes),semitransparent in 1 cases (1 eye),8 eyes appeared Descemet's layer folds.CONCLUSION:Deep lamellar keratoplasty with fewer complications,can reduce the incidence of endothelial rejection.Postoperative visual acuity is good,and there is less demanding on the donor material,etc.It provides a safe and effective choice for the treatment of keratoconus.

关 键 词:圆锥角膜 深板层角膜移植术 

分 类 号:R779.65[医药卫生—眼科]

 

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