角膜内皮移植术不同时期并发症的成因及处理  

Causes and treatment of complications in different stages of endothelial keratoplasty

作　　者：东玥言(综述) 张弘(审校) Dong Yueyan;Zhang Hong(Eye Hospital,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院眼科医院,哈尔滨150001

出　　处：《中华实验眼科杂志》2022年第2期178-182,共5页Chinese Journal Of Experimental Ophthalmology

基　　金：国家自然科学基金项目(U20A20363、81970776);黑龙江省自然科学基金项目(LH2020H039)。

摘　　要：随着角膜内皮移植术在国内外的广泛开展和应用,角膜内皮移植术作为目前治疗角膜内皮失代偿的较理想术式,其优点不言而喻,但也存在植片制备、术中及术后发生并发症的可能。本文以2种常见的角膜内皮治疗术式——角膜后弹力层剥除内皮移植术和角膜后弹力层内皮移植术为例,从植片制备并发症(如植片穿孔、植片撕裂)、术中并发症(如植片展开困难、植片倒置)和术后并发症(如植片脱落、术后高眼压)等方面详细介绍不同并发症对应的处理方法。通过对角膜内皮移植术不同时期并发症的发生、影响因素及处理方法等方面的研究进展进行综述,以期为临床医师对角膜内皮移植术各期并发症的诊疗提供参考。As an ideal surgical method for treating corneal endothelial decompensation,endothelial keratoplasty has been widely applied.It has many advantages,but there are also complications during graft preparation,intraoperative operation and postoperative recovery.The two common types of corneal endothelial keratoplasty,Descemet-stripping automated endothelial keratoplasty and Descemet membrane endothelial keratoplasty,were taken as examples in this article to introduce the treatment of complications during graft preparation,such as graft perforation and graft tear,intraoperative complications,for instance,difficulty in expanding graft and graft inversion,postoperative complications including graft detachment,high intraocular pressure,etc.The incidence of complications at different stages of endothelial keratoplasty,influencing factors and treatment methods were reviewed to provide a reference for clinicians to diagnose and treat complications of endothelial keratoplasty at various stages.

关 键 词：角膜后弹力层剥除内皮移植术 角膜后弹力层内皮移植术 并发症 治疗 

分 类 号：R779.65[医药卫生—眼科]