Sonmez Baris, Kim Brian T, Aldave Anthony J
The Jules Stein Eye Institute, University of California, Los Angeles Medical Center, Los Angeles, CA 90095, USA.
Cornea. 2007 Feb;26(2):227-9. doi: 10.1097/01.ico.0000244876.92879.c1.
To report the use of anterior stromal micropuncture and amniotic membrane transplantation in the management of painful bullous keratopathy in patients with poor visual potential.
Interventional case series. A retrospective review was performed to identify all patients who were treated by one of us (A.J.A.) between January 1, 2003, and June 30, 2005.
Five eyes of 5 patients were identified. Conjunctival scarring secondary to glaucoma and retinal surgeries prevented mobilization of the conjunctiva in each of the patients identified. Each eye showed an intact, smooth corneal epithelial surface 1 month after the procedure, and no patients developed recurrent bullae formation during the follow-up period (average follow-up, 21 months; range, 11-34 months).
Anterior stromal micropuncture and amniotic membrane transplantation is an effective technique for the management of bullous keratopathy in patients with poor visual potential. The success rate of this combined procedure may exceed that of either procedure performed alone.
报告前基质微穿刺及羊膜移植术在视力预后较差的大泡性角膜病变患者治疗中的应用。
干预性病例系列研究。回顾性分析2003年1月1日至2005年6月30日期间由我们其中一人（A.J.A.）治疗的所有患者。
共确定了5例患者的5只眼。青光眼及视网膜手术后继发的结膜瘢痕阻碍了所有确诊患者结膜的移动。术后1个月，每只眼的角膜上皮表面均完整、光滑，随访期间（平均随访21个月；范围11 - 34个月）无患者出现大泡复发。
前基质微穿刺及羊膜移植术是治疗视力预后较差的大泡性角膜病变的有效技术。该联合手术的成功率可能超过单独进行任何一种手术的成功率。
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