CAJ | 학술논문

目的探讨超声生物显微镜在治疗先天性角膜混浊的临床应用.方法回顾分析2004年7月至2011年11月于我院收治的先天性角膜混浊患者15例20只眼,常规行最佳矫正视力检查、眼压检查、裂隙灯眼前节检查、眼底检查、大体照相、B型超声检查、超声生物显微镜检查,分析先天性角膜混浊的并发症及手术方式情况.结果根据超声生物显微镜检查结果,先天性角膜混浊患者伴有角膜无后弹力膜和内皮层者5只眼,虹膜前粘连(Peter异常)者20只眼,虹膜缺损者5只眼,晶体皮质丢失者3只眼,白内障13只眼,房角关闭者14只眼,瞳孔残膜者3只眼.所有患者中行手术治疗14只眼,其中行穿透性角膜移植联合白内障摘除及小梁切除术者5只眼,行穿透性角膜移植联合瞳孔成形术者3只眼,行穿透性角膜移植联合白内障摘除者3只眼,行穿透性角膜移植联合小梁切除术者2只眼,行板层角膜移植术者1只眼.结论超声生物显微镜检查对先天性角膜混浊的诊治具有重要的临床指导作用.
목적 탐토초성생물현미경재치료선천성각막혼탁적림상응용.방법 회고분석2004년7월지2011년11월우아원수치적선천성각막혼탁환자15례20지안,상규행최가교정시력검사、안압검사、렬극등안전절검사、안저검사、대체조상、B형초성검사、초성생물현미경검사,분석선천성각막혼탁적병발증급수술방식정황.결과 근거초성생물현미경검사결과,선천성각막혼탁환자반유각막무후탄력막화내피층자5지안,홍막전점련(Peter이상)자20지안,홍막결손자5지안,정체피질주실자3지안,백내장13지안,방각관폐자14지안,동공잔막자3지안.소유환자중행수술치료14지안,기중행천투성각막이식연합백내장적제급소량절제술자5지안,행천투성각막이식연합동공성형술자3지안,행천투성각막이식연합백내장적제자3지안,행천투성각막이식연합소량절제술자2지안,행판층각막이식술자1지안.결론 초성생물현미경검사대선천성각막혼탁적진치구유중요적림상지도작용.
Objective To investigate the clinical application of ultrasound biomicroscopy in the treatment of congenital corneal opacities.Methods Medical records of 20 eyes (15 patients) with congenital corneal opacity treated at our hospital from July 2004 to November 2011 were retrospectively reviewed.Best corrected visual acuity testing,intraocular pressure testing,slit-lamp anterior segment examination,fundus examination,slit-lamp microscopic photography,B scan examination,and ultrasound biomicroscopy were performed for analysis of complications of congenital corneal opacity and selection of surgical approaches.Results The ultrasound biomicroscopic examination showed that 5 eyes had no Descemet's membrane and corneal endothelium,20 eyes had anterior synechia,5 eyes had aniridia,3 eyes had loss of lens cortex,13 eyes had cataract,14 eyes had closed angle,and 3 eyes had pupillary membrane.14 of 20 eyes received surgical treatment,including penetrating keratoplasty combined with cataract extraction and trabeculectomy (5 eyes),penetrating keratoplasty combined with pupil angioplasty (3 eyes),penetrating keratoplasty combined with cataract extraction (3 eyes),penetrating keratoplasty combined with trabeculectomy (2 eyes),and lamellar keratoplasty (1 eye).Conclusions Ultrasound biomicroscopy is important to guide the diagnosis and treatment of congenital corneal opacity.