羊膜移植治疗大泡性角膜病变  

Amniotic Membrane Transplantation for Bullous Keratopathy

作　　者：高桂平[1] 赖铭莹[2] 

机构地区：[1]江西医学院第一附属医院眼科,江西南昌330006 [2]广东省深圳市眼科医院,广东深圳518000

出　　处：《江西医学院学报》2002年第5期115-116,共2页Acta Academiae Medicinae Jiangxi

摘　　要：目的 :观察羊膜移植治疗大泡性角膜病变的疗效。方法 :选择 10例 (10眼 )有明显眼痛且视功能差的大泡性角膜病变 ,其中白内障术后无晶体眼 4例 ,人工晶体眼 3例 ,外伤及青光眼术后等其他原因所致 3例 ,进行羊膜移植术 ,观察疗效 ,随访半年以上。结果 :10例中 7例术后第一天眼痛症状明显缓解 ,所有病例均在术后 3～ 5d内疼痛消失 ,8例角膜上皮缺损在 4～ 5周内愈合 ,2例角膜大泡仅局限在小区域 ,无自觉症状。结论 :羊膜移植可有效控制大泡性角膜病变的症状 。Objective:To investigate the therapeutic efficacy of amniotic membrane transplantation(AMT) for bullous keratopathy . Methods:AMT was performed on 10 patients(10 eyes)with bullous keratopathy. The cause of bullous kerapathy were: aphakic eyes(4 eyes) phakic eyes (3 eyes) postoperation of glaucoma or trauma(3 eyes). Results: All patients were followed up for more than 6 months. The pain was relieved obviously in 7 eyes within 1 day, and all the patients were pain-free within 3～5 days. In 8 patients the corneal epithelium healed rapidly within 4～5 weeks, while in the other 2 patients, corneal epithelial bulloe localized in a small area but had no conscious symptoms. Conclusion: AMT is an effective treatment for bullous keratopathy.

关 键 词：羊膜移植 大泡性角膜病变 治疗 

分 类 号：R772.2[医药卫生—眼科]