角膜内皮移植术研究进展  

Research Advances in Endothelial Keratoplasty

作　　者：陈绪涛[1,2] 宋念艺[1,2] 

机构地区：[1]长江大学临床医学院 [2]长江大学附属第一医院眼科,湖北荆州434000

出　　处：《医学综述》2012年第19期3238-3241,共4页Medical Recapitulate

摘　　要：角膜内皮移植术是一种新的手术方法,主要用来治疗各种严重的角膜内皮病变。它是用健康的供体植片来置换病变的内皮层和后弹力层,而尽量保留未病变的组织。该手术因损伤小、视力恢复快、排斥反应少,现已取代穿透性角膜移植术而成为治疗内皮病变的首选方法,撕除后弹力层的角膜内皮移植术是目前的主流术式。植片脱位是术后最主要的并发症,向前房内重新注入气泡或用黏弹剂多可使植片复位。飞秒激光的引入有可能使手术更加完美。现就角膜内皮移植术的适应证、手术方法及并发症等方面的研究进展进行综述。Endothelial keratoplasty is a new surgical technique in treatment of severe corneal endothelial keratopathy. Its surgical procedure is to replace diseased endothelium layer with healthy donor graft,while re- taining healthy portions of a paitient＇s cornea. It provides quicker and better visual rehabilitation,not only be- cause of its sutureless and minor incision procedure,but also its low rejection rate. It is now taking the place of standard penetrating keratoplasty. Endothelial keratoplasty with Descemet stripping is mainstream operative method in endothelial keratoplasty. The main postoperational complication is dislocation of donor graft, but in- jection of air bubble or viscoelastic agent into anterior chamber can reattach dislocated grafts. The use of fem- tosecond laser probably makes operations perfect. Here is to make a review on some related aspects about en- dothelial keratoplasty, including indications, operative methods, complications, and so on.

关 键 词：角膜内皮移植 角膜内皮 植片 

分 类 号：R777.34[医药卫生—眼科]