摘要
目的：探讨穿透性角膜移植术治疗外伤性角膜病变的临床疗效。方法：对17例外伤性角膜病变施行穿透性角膜移植术，2例行穿透性角膜移植术联合小梁切除术，观察术后角膜植片及视力变化。结果：随访6～18（平均11．2）mo，术后临床症状明显缓解或消失，植片透明率为84％。视力较术前提高，其中矫正视力0．05以上16例；术后继发性青光眼5例，内皮型排斥反应4例。结论：穿透性角膜移植术是治疗外伤性角膜病变的一种有效的手术方式，其主要并发症为继发性青光眼和角膜移植排斥反应。
AIM： To evaluate the effect of penetrating keratoplasty on treatment of traumatic keratopathy.
METHODS： Seventeen cases of traumatic keratopathy were treated by penetraing keratoplasty, while 2 cases underwent penetrating keratoplasty combined with trabeculectomy, Corneal grafts and the changes in visual acuity were observed after operation.
RESULTS： Corneal grafts and the changes in visual acuity were followed up for 6 to 18 months （11.2 months on average）, All the clinical symptoms remitted or disappeared, the buttons were transparent and postoperative visual acuity was improved, Sixteen eyes had a corrected visual acuity of 0.05 or better and 4 eyes had 0, 2 or better, Five cases of secondary glaucoma and 4 cases of endothelial rejection were found.
CONCLUSION： The penetrating keratoplasty for treatment of traumatic keratopathy was effective. Postoperatively, the primary complications are glaucoma and graft rejection.
出处
《国际眼科杂志》
CAS
2008年第3期522-523,共2页
International Eye Science
