Lang G K, Lang G E, Naumann G O
University of Ulm, Erlangen, FRG.
Curr Opin Ophthalmol. 1991 Aug;2(4):443-50.
Ocular surface diseases especially after severe lye burns are an unresolved challenge. Autologous nasal mucosa transplantation, keratoepithelioplasty, and polytef alloplastic grafting are current tools in surgical management of the ocular surface diseases. "Merest sclera" surgery is an approach in surgical management of pterygium. Procedures for refractive corneal surgery, such as epikeratoplasty, radial keratotomy, and keratomileusis, are discussed. Anterior stromal puncture technique is a surgical treatment of recurrent corneal erosions. Curative corneal surgeries are keratoplasty alone or as combined procedure. Problems of graft-failure are discussed. The new technique of excimer-laser (193 nm) elliptical keratoplasty is described.
眼表疾病，尤其是严重碱烧伤后的眼表疾病，仍然是一个尚未解决的挑战。自体鼻黏膜移植、角膜上皮成形术和聚四氟乙烯异体移植是目前眼表疾病外科治疗的手段。“单纯巩膜”手术是翼状胬肉外科治疗的一种方法。文中讨论了屈光性角膜手术的操作，如表层角膜镜片术、放射状角膜切开术和角膜磨镶术。前基质穿刺技术是复发性角膜糜烂的一种手术治疗方法。根治性角膜手术是单独进行角膜移植术或作为联合手术。文中讨论了移植失败的问题。介绍了准分子激光（193纳米）椭圆形角膜移植的新技术。
