CAJ | 학술논문

目的：分析真菌性角膜溃疡穿孔（穿孔＜2．0 mm）行结膜瓣覆盖术后的治疗效果。方法回顾性分析2009年1月到2013年9月在我院患者行结膜瓣覆盖术，并有完整记录的患者127例（127只眼）。统计手术前后视力变化、前房深度及溃疡复发的发生率。结果术后视力提高31例（24％），不变78例（61％），下降18例（14％）；术后5～9天前房深度正常，术中27例、术后3例行前房注气重建前房；术后2年治愈101例（94．3％），溃疡复发6例（3％）。结论羊膜覆盖术可作为真菌性角膜溃疡穿孔（穿孔＜2．0 mm）保住眼球的一种有效、简便、经济的手术方法。
목적：분석진균성각막궤양천공（천공＜2．0 mm）행결막판복개술후적치료효과。방법회고성분석2009년1월도2013년9월재아원환자행결막판복개술，병유완정기록적환자127례（127지안）。통계수술전후시력변화、전방심도급궤양복발적발생솔。결과술후시력제고31례（24％），불변78례（61％），하강18례（14％）；술후5～9천전방심도정상，술중27례、술후3례행전방주기중건전방；술후2년치유101례（94．3％），궤양복발6례（3％）。결론양막복개술가작위진균성각막궤양천공（천공＜2．0 mm）보주안구적일충유효、간편、경제적수술방법。
Objective To evaluate the efficacy of conjunctival flap covering in the treatment for fungal keratitis ul -cers with perforation radius <2.0 mm.Methods A retrospective study was done to investigate 127 patients (127 eyes) who received conjunctival flap covering surgeries between January 2009 and September 2013 for the treatment of corneal ul-cers resulted from fungal infection .Visual acuity changes , anterior chamber depth , and the recurrence rate of fungal infec-tions were examined and analyzed .Results acuity improved in 31 cases ( 24%) , remained unchanged in 78 cases (61%), and decreased in 18 cases (14%).Anterior chamber depth became normal within 5~7 days after the surgery. Gas injection to rebuild anterior chamber was needed during surgery in 27 patients and after surgery in 3 patients.After 2 years of follow~up, 101 patients were cured (94.3%), while recurrent ulcers were found in only 6 patients (3%).Con-clusion Conjunctival flap covering is an effective treatment for fungal keratitisulcers with perforation radius <2.0 mm.