深板层角膜移植治疗格子样角膜营养不良的疗效观察  

Observation of curative effects of deep lamellar keratoplasty in patients with lattice corneal dystrophy.

作　　者：王向华[1] 赵宏[1] 丁相奇[1] 

机构地区：[1]郑州市中心医院眼科,450001

出　　处：《中华眼外伤职业眼病杂志》2012年第3期193-194,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨深板层角膜移植治疗格子样角膜营养不良的临床效果。方法对24例（32眼）视力明显受损的格子样角膜营养不良患者行深板层角膜移植术，术后随访6—36个月，观察视力和并发症。结果术后最佳矫正视力0．3～0．6者12眼，0．7～0．9者16眼，1．0～1．2者4眼。并发症包括术中后弹力层穿孔4眼；术后一过性眼压升高2眼，后弹力层皱褶5眼。无发生排斥反应者。结论深板层角膜移植术治疗格子样角膜营养不良安全有效。Objective To observe the clinical curative effect of deep lamellar keratoplasty（DLKP） on lattice corneal dystrophy（LCD） . Methods Twenty-four patients （ 32 eyes） of LCD with obvious visual acuity decrease had undergone DLKP. They were followed up from 6 months to 36 months . The change of visual acuity and the complications were observed. Results The postoperative best corrected visual acuity was 0.3 - 0.6 in 12 eyes , 0.7 - 0. 9 in 16 eyes and 1.0 - 1.2 in 4 eyes. Intraoperative perforation of grafting bed occurred in 4 eyes, postoperative transient intraocular pressure increase in 2 eyes and wrinkle of Descemet＇s membrane in 5 eyes. No corneal graft rejection was observed. Conclusion DLKP seems to be a safe and effective selection for the surgical treatment of LCD.

关 键 词：角膜移植 深板层 角膜营养不良 格子样 疗效 

分 类 号：R779.65[医药卫生—眼科]