CAJ | 학술논문

目的观察深板层角膜移植术治疗急性期圆锥角膜的手术时机及临床效果.方法总结自2008年9月至2009年9月于邢台眼科医院住院的急性期圆锥角膜患者8例,均于发病后2～3周采用深板层角膜移植术治疗,术后随访观察6～12个月,观察角膜植片的透明度及视力情况.结果 8例患者中,术前裸眼视力4例为手动,4例为眼前指数,矫正均不提高;术后裸眼视力为0.2～0.5的6例,≥0.6的2例,术中发现后弹力层裂孔呈裂隙状;术后6例大部分裂孔已愈合,角膜植片透明;2例裂孔较大者(尚有约1mm未愈合)术后第3天发现少许层间积液,植片基质层轻度水肿,经前房补气及包扎后层间积液吸收,角膜植片恢复透明;全组病例后弹力层破裂处无明显混浊.结论深板层角膜移植术治疗急性期圆锥角膜可以取得较好的临床效果.
목적 관찰심판층각막이식술치료급성기원추각막적수술시궤급림상효과.방법 총결자2008년9월지2009년9월우형태안과의원주원적급성기원추각막환자8례,균우발병후2～3주채용심판층각막이식술치료,술후수방관찰6～12개월,관찰각막식편적투명도급시력정황.결과 8례환자중,술전라안시력4례위수동,4례위안전지수,교정균불제고;술후라안시력위0.2～0.5적6례,≥0.6적2례,술중발현후탄력층렬공정렬극상;술후6례대부분렬공이유합,각막식편투명;2례렬공교대자(상유약1mm미유합)술후제3천발현소허층간적액,식편기질층경도수종,경전방보기급포찰후층간적액흡수,각막식편회복투명;전조병례후탄력층파렬처무명현혼탁.결론 심판층각막이식술치료급성기원추각막가이취득교호적림상효과.
Objective To observe the timing of surgery and clinical results of the deep lamellar keratoplasty for treatment of acute keratoconus. Methods Eight cases of in patients with keratoconus in the acute stage of hospitalization were operated using deep lamellar keratoplasty since September 2008 to September 2009 at the Xingtai Eye Hospital, postoperative follow-up observation was from 6 months - 1 year to observe the corneal transparency of the graft and visual conditions. Results The preoperative uncorrected visual acuity in 4 cases was hand move, 4 cases finger count, could not corrected; postoperative uncorrected visual acuity of 0.2-0.5 in 6 eyes, ≥0.6 in 2 eyes, corrected visual acuity ≥0.4. Intraoperative Descemet's layer hole was found in slit-like, most of hole in 6 cases healed, and 2 cases of hiatus was greater (there was about 1mm did not heal). There was effusion found within layers of graft stroma 3 days after surgery. Light degree of edema was treated with anterior chamber air injection and wrapping to let the layer of fluid absorption, corneal graft restored transparency. All cases those underlying Descemet's rupture had no significant turbidity. Conclusions Deep lamellar keratoplasty for treatment of acute keratoconus can obtain better clinical effects.