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蚕蚀性角膜溃疡的显微外科治疗

Microsurgical treatment of Mooren's corneal ulcer.

作者信息

Xie Hanping, Chen Jiaqi, Wang Zhen, Yang Bing, Gong Xiangming, Feng Chunmao, Chen Longshan, Lin Yuesheng

机构信息

Eye Center, SouthWestem Hospital, Third Military Medical University, Chongqing, China.

出版信息

Microsurgery. 2003;23(1):27-31. doi: 10.1002/micr.10091.

Abstract

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.

摘要

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。

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