Hansen Philippe A., Guandalini Adolpho
46 Ave du roi chevalier, 1200 Brussels, Belgium; Circonvallatione nomentana 251, 00162 Rome, Italy.
Vet Ophthalmol. 1999;2(4):233-241. doi: 10.1046/j.1463-5224.1999.00084.x.
Frozen lamellar corneal grafts and nictitating membrane flaps were used in 18 dogs and 12 cats to repair deep corneal defects. In all dogs either melting corneal ulcers or descemetoceles were present. In the 12 cats, nine had either a melting corneal ulcer or descemetocele, two animals had acute bullous keratopathy, and one cat had corneal sequestrum. Initial vascularization with gradual clearing of the graft occurred during the first 45 days postoperatively. At 60 days postoperatively, all eyes were visual. Frequent postoperative complications included: focal dehiscence of the wound (n = 9); melting of part of the graft (n = 7); and pigmentation of the graft (n = 4). The frozen lamellar corneal graft was a very safe technique, and restored the tectonic and the optical function of the cornea. It provided the best results in corneas with nonperforating corneal defects. This technique provides poorer results when the cornea was perforated prior to surgery or during the surgical procedure.
在18只犬和12只猫中使用冷冻板层角膜移植片和瞬膜瓣修复深层角膜缺损。所有犬均存在角膜溃疡溶解或后弹力层膨出。12只猫中,9只存在角膜溃疡溶解或后弹力层膨出,2只动物患有急性大疱性角膜病变,1只猫患有角膜分离性角膜层间炎。术后最初45天内出现移植片逐渐清晰的初期血管化。术后60天时,所有术眼均有视力。常见的术后并发症包括:伤口局部裂开(n = 9);移植片部分溶解(n = 7);移植片色素沉着(n = 4)。冷冻板层角膜移植是一种非常安全的技术,可恢复角膜的结构和光学功能。它在非穿孔性角膜缺损的角膜中取得了最佳效果。当角膜在手术前或手术过程中穿孔时,该技术的效果较差。