Makarov P V, Gundarova R A, Dadasheva Z R
Vestn Oftalmol. 2004 May-Jun;120(3):14-6.
The report contains the analysis results of 53 keratoplasty procedures in the treatment of patients with severe and extra severe burns of eyes (185 cases within 6 years). On the basis of the obtained results, the authors conclude that the active surgical approach, when used soon after trauma (necrectomy, autotenoplasty, bloody blepharorrhaphy), cut significantly the rate of indications for emergency keratoplasty (to 9% only in cases involving the presence of a deep defect caused by the thermal affection or the presence of burn-agent particles in the corneal stroma); an extra severe burn is the absolute indication for lamellar keratoplasty; indications for transplantation of the cornea, 1 week after trauma and more, arise, when there is ulceration (especially, perforation), due to a prolonged and ineffective therapy and due to an inadequate surgical tactics. The authors suggest the criteria for a substantiated and more effective use of transplantation of the cornea in the treatment of eye burns.
该报告包含了53例角膜移植手术治疗严重和极重度眼烧伤患者（6年内共185例）的分析结果。基于所获结果，作者得出结论：积极的手术方法，即在创伤后尽早使用（坏死组织切除、自体角膜成形术、血性睑缘缝合术），可显著降低急诊角膜移植的指征率（仅在因热损伤导致深层缺损或角膜基质中有烧伤剂颗粒的情况下降至9%）；极重度烧伤是板层角膜移植的绝对指征；创伤后1周及更长时间出现角膜移植指征，是由于治疗时间延长且无效以及手术策略不当导致溃疡形成（尤其是穿孔）。作者提出了在眼烧伤治疗中合理且更有效使用角膜移植的标准。
