自体穿透性角膜移植治疗角膜盲的临床观察
International Eye Science(2019)
Abstract
目的:观察自体穿透性角膜移植手术治疗角膜盲的临床效果.方法:采用回顾性分析,选择2014-01/2018-03行自体穿透性角膜移植治疗的患者8例8眼(角膜盲),随访1a,观察术中并发症、术后视力、术后角膜透明度和术后并发症等.结果:术后1wk时8眼患者术后裸眼视力均>0.02,复明率100%;术后1mo时5眼患者矫正视力超过0.3,3眼患者因术前白内障影响术后矫正,视力提高到0.08~0.2;术后1a,8眼患者原角膜盲眼植片均透明,无感染复发或继发感染情况发生.结论:自体角膜移植手术后角膜植片易于生长,无排斥反应,术后并发症较少,且治疗花费少,既可为单眼失明合并角膜盲的患者提供长期的有用视力,又可减轻其经济负担,为患者带来巨大利益.
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Key words
autologous corneal transplantation,corneal blindness,corneal ulcer,leukoma,conjunctival flap covering
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