Xie Hanping, Chen Jiaqi, Wang Zhen, Yang Bing, Gong Xiangming, Feng Chunmao, Chen Longshan, Lin Yuesheng
Eye Center, SouthWestem Hospital, Third Military Medical University, Chongqing, China.
Microsurgery. 2003;23(1):27-31. doi: 10.1002/micr.10091.
This study evaluated the effect of microsurgery of lamellar keratoplasty (LKP) on Mooren's corneal ulcer. The surgical effect, postoperative astigmatism, postoperative vision, postoperative ulcer recurrence, and surgical complications of 2 groups of consecutive Mooren's ulcer inpatients treated respectively by non-microsurgery of LKP and microsurgery of LKP were analyzed. There were significant differences of the effect, postoperative astigmatism, postoperative vision, postoperative ulcer recurrence, and surgical complications between the 2 groups. The effect and postoperative vision of the microsurgery-treated group were better than those of the non-microsurgery-treated group. The postoperative astigmatism, postoperative ulcer recurrence, and surgical complications of the microsurgery-treated group were less than those of the non-microsurgery-treated group. Microsurgery of LKP of Mooren's corneal ulcer can greatly improve the cure rate of the disease and postoperative vision, and reduce surgical complication and postoperative ulcer recurrence.
本研究评估了板层角膜移植术(LKP)显微手术对蚕蚀性角膜溃疡的疗效。分析了分别采用LKP非显微手术和LKP显微手术治疗的2组连续性蚕蚀性溃疡住院患者的手术效果、术后散光、术后视力、术后溃疡复发及手术并发症情况。两组在手术效果、术后散光、术后视力、术后溃疡复发及手术并发症方面存在显著差异。显微手术治疗组的手术效果和术后视力优于非显微手术治疗组。显微手术治疗组的术后散光、术后溃疡复发及手术并发症少于非显微手术治疗组。蚕蚀性角膜溃疡的LKP显微手术可大大提高该病的治愈率和术后视力,并减少手术并发症和术后溃疡复发。