穿透性角膜移植术治疗真菌性角膜炎的临床观察  

Clinical study on effect of penetrating keratoplasty in treatment of fungal keratitis

作　　者：蔡志刚 夏泽梅[2] 

机构地区：[1]临沧市第二人民医院眼科,云南临沧677000 [2]昆明市第一人民医院眼科,云南昆明650011

出　　处：《临床和实验医学杂志》2012年第10期767-768,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的观察穿透性角膜移植术治疗真菌性角膜炎的临床疗效。方法对真菌性角膜炎49例49眼进行穿透性角膜移植术,观察其临床特点及手术效果。结果术后49例患者中除4例眼球摘除、3例放弃治疗外,其余视力均较术前提高。术后视力0.01～0.3。15例术后出现真菌复发,5例患者在术后3 d内眼压暂时升高,27例出现排斥反应。结论穿透性角膜移植术是治疗真菌性角膜炎的有效方法。Objective To evaluale the therepeutic effect of penetrating keratoplasty in treatment of patients with fungal keratitis.Methods Forty nine eyes of 49 patients with fungal keratitis were treated with penetrating keratoplasty,and their clinical characteristics and effect of operation were observed.Results Among them,4 cases were treated with enucleation,three cases give up for treatment,the vision in remaining patients were improved after the operation.Visual acuity of patients after operation reached 0.01 to 0.3,15 cases were suffered from postoperative fungal recurrence,5 patients with transient increase in IOP at 3 days after operation,and rejection occurred in 27 cases.Conclusion Penetrating keratoplasty is an effective procedure in treatment of patients with fungal keratitis,and visual acuity is significantly increased after keratoplasty.

关 键 词：真菌性角膜炎 穿透性角膜移植术 疗效 

分 类 号：R779.65[医药卫生—眼科]