CAJ | 학술논문

目的评价准分子激光治疗性角膜切削术(PTK)联合角膜上皮瓣复位术治疗角膜浅层病变的效果.方法采用PTK联合角膜上皮瓣复位术治疗12例13眼,其中男5例5眼,女7例8眼;复发性角膜上皮糜烂3例3眼;大泡性角膜病变3例3眼;复发性翼状胬肉致角膜斑翳2例3眼;细菌性角膜炎致角膜斑翳1例1眼;带状角膜变性2例2眼;颗粒状角膜营养不良1例1眼.术后随访观察12个月.结果术后1、3、6、9、12个月检查:矫正视力提高2行以上者分别为53.85%(7眼)、61.54%(8眼)、69.23%(9眼)、61.54%(8眼)、61.54%(8眼).刺激症状均明显改善,未出现原病复发及其他并发症.结论 PTK联合角膜上皮瓣复位术治疗角膜浅层病变具有操作简单、安全有效的特点.部分患者可避免或推迟角膜移植手术时间.
목적 평개준분자격광치료성각막절삭술(PTK)연합각막상피판복위술치료각막천층병변적효과.방법채용PTK연합각막상피판복위술치료12례13안,기중남5례5안,녀7례8안;복발성각막상피미란3례3안;대포성각막병변3례3안;복발성익상노육치각막반예2례3안;세균성각막염치각막반예1례1안;대상각막변성2례2안;과립상각막영양불량1례1안.술후수방관찰12개월.결과술후1、3、6、9、12개월검사:교정시력제고2행이상자분별위53.85%(7안)、61.54%(8안)、69.23%(9안)、61.54%(8안)、61.54%(8안).자격증상균명현개선,미출현원병복발급기타병발증.결론 PTK연합각막상피판복위술치료각막천층병변구유조작간단、안전유효적특점.부분환자가피면혹추지각막이식수술시간.
Objective To investigate the effect of phototherapeutic keratectomy(PTK) with an epithelial flap for treating superficial corneal diseases. Methods Twelve cases (13 eyes) with superficial corneal diseases were treated with PTK and an epithelial flap. Five cases (5 eyes) were male, 7 cases (8 eyes) were female. Recurring corneal epithelium erosion 3 cases(3 eyes), 3 cases(3 eyes) were suffering from corneal endothelium dysfunction, corneal macula caused by recurring pterygium 2 cases (3 eyes) and caused by bacterial keratitis 1 case(1 eye); band corneal degeneration 2 cases (2 eyes), granular corneal degeneration 1 case (1 eye). The period of follow-up was 12 months. Results At 1,3,6,9 and 12 months postoperationly, the percentage of eyes with an improvement of 2 lines or more for the corrected visual acuity was 53.85%(7 eyes),61.54%(8 eyes),69.23%(9 eyes),61.54%(8 eyes),61.54%(8 eyes). The irritating symptoms disappeared or improved. There were not some problems as recurrence of primary diseases and others complications. Conclusions PTK with an epithelial flap was a new and safe technique for treating superficial corneal diseases. Some patients can avoid or delay the time of keratoplasty.