深板层角膜移植治疗角膜病的临床观察  

Clinical observation of deeper lamellar keratoplasty in the treatment of keratopathy

作　　者：王斌[1] 李长兵[1] 

机构地区：[1]连云港市东方医院眼科,中国江苏省连云港市222042

出　　处：《国际眼科杂志》2012年第12期2394-2395,共2页International Eye Science

摘　　要：目的:评价深板层角膜移植治疗角膜病的效果。方法:回顾行深板层角膜移植术患者5例6眼。使用新鲜同种异体角膜3例,进行角膜巩膜缘的大植片移植,用于蚕蚀性角膜溃疡1例2眼,边缘性角膜变性1例1眼。使用保存角膜3例,进行单纯前部深板层角膜移植,用于单疱病毒性角膜炎后角膜深层斑翳2例2眼,角膜皮样瘤1例1眼。术后随访18mo,观察术后视力、植片透明度和术后并发症情况。结果:术前视力:HM/眼前～0.06。随访5眼最佳矫正视力明显提高(0.2～0.5),1眼植片中度混浊,视力(0.05)稍有提高。结论:深板层角膜移植治疗角膜病具有较好疗效,容易在基层医院开展。AIM： To evaluate the clinical effects of deep lamellar keratoplasty （DLKP） for keratopathy.METHODS： There are 5 cases 6 eyes with mooren＇s ulcer, margin corneal degeneration, herpes simplex keratitis or corneal dermoid tumor. DLKP with or without scleral ring transplantation were taken in these patients, and a retrospective study was made. All patients were followed up for 18 months. The postoperative complications,postoperative vision, the transparency of tissue lens were observed.RESULTS： Their visual acuities were HM/10cm-0.06 preoperatively. In the follow-up, the best-corrected visual acuities of 5 eyes improved obviously, ranging in 0.2-0.5. One eye had moderate turbidity, its visual acuities （0.05） slightly improved.CONCLUSION： DLKP is effective and safe for keratopathy, and easy be performed in primary hospital.

关 键 词：深板层角膜移植 角膜病 

分 类 号：R779.65[医药卫生—眼科]