圆锥角膜穿透性和深层前板层角膜移植术后角膜敏感性。

Corneal sensitivity in keratoconus after penetrating and deep anterior lamellar keratoplasty.

机构信息

Department of Ophthalmology, University of Pavia, Pavia, Italy.

出版信息

Ophthalmologica. 2010;224(4):247-50. doi: 10.1159/000277615. Epub 2010 Jan 23.

DOI:10.1159/000277615

PMID:20110740

Abstract

PURPOSE

To evaluate recovery of corneal sensitivity in the graft following penetrating keratoplasty (PK) or deep anterior lamellar keratoplasty (DALK) in patients with keratoconus.

MATERIALS AND METHODS

113 eyes of 113 patients (39 females, 74 males) were examined. All eyes had undergone corneal grafting: 39 PK, 74 DALK. Corneal sensitivity tested using the Cochet-Bonnet esthesiometer was evaluated the day before and 3 days, 3, 6, 12 and 24 months after surgery. The corneal sensitivity recovery was associated with surgical techniques (PK or DALK), age and sex of recipient and donor, cadaver time and type of preservation of the cornea.

RESULTS

The average percentage of recovery of corneal sensitivity was 91% at 2 years. Surgical techniques and other qualitative and quantitative variables did not affect the statistically significant recovery of corneal sensitivity.

CONCLUSIONS

In both surgical techniques, PK and DALK, we noticed a good recovery of corneal sensitivity in 2 years.

摘要

目的

评估圆锥角膜患者行穿透性角膜移植术（PK）或深板层角膜移植术（DALK）后植片的角膜知觉恢复情况。

材料与方法

共 113 例（39 名女性，74 名男性）113 只眼接受了角膜移植术：39 只眼行 PK，74 只眼行 DALK。术前及术后 3 天、3、6、12 和 24 个月使用 Cochet-Bonnet 触觉计评估角膜知觉。角膜知觉恢复与手术技术（PK 或 DALK）、受者和供者的年龄和性别、尸体时间以及角膜保存方式相关。