深板层角膜移植治疗真菌性角膜溃疡13例分析  

Clinical analysis of deep lamellar keratoplasty for fungal corneal ulcer

作　　者：崔凤肖 

机构地区：[1]河北省邱县中心医院眼科,057450

出　　处：《中国实用眼科杂志》2015年第3期287-289,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨基层医院开展深板层角膜移植治疗真菌性角膜溃疡的可行性。方法回顾分析了2010年8月至2014年1月在邱县中心医院眼科就诊的真菌性角膜溃疡行深板层角膜移植术的适应证、术中手术技巧、术后处理及经验总结。结果13例真菌性角膜溃疡经深板层角膜移植10例治愈（76．92％，10／13），复发3例（23．07％，3／13），术后视力0．5以上者2例，0．2～0．5者4例，指数～0．1者4例。结论深板层角膜移植治疗真菌性角膜溃疡在严格掌握适应证的前提下取得较好疗效，术后合并症少、手术风险小、经济实惠，适合基层医院开展推广。Objective To investigate the feasibility of deep lamellar keratoplasty for fungus corneal ulcer in primary hospital. Methods A retrospective analysis of August 2010 to January 2014 in Qiuxian Central Hospital for treatment of fungal corneal ulcer with deep lamellar keratoplasty. Sur gery indications, operation techniques, postoperative treatment and experience were summarized. Re suits Thirteen cases of patients with fungus corneal ulcer were underwent deep lamellar keratoplasty, 10cases （76.92%） were cured, and 3 cases （23.08%） relapsed. The visual acuity after operation as follows： over 0.5 in 2 case, 0.1-0.5 in 4 cases, and finger count0.1 in 4 cases. Conclusions Fun gus ulcer can be restrined by deep lamellar keratoplasty under strict indication and results in a bet ter therapeutic effect. This operation doesn＇t need high quality cornea, has less complications and surgical risk which can obtains some useful vision acuity. It is low economic and practical and suit able to perform in primary hospital.

关 键 词：深板层角膜移植 真菌性角膜溃疡 

分 类 号：R779.12[医药卫生—眼科]