双侧微角膜刀辅助前板层对侧角膜同种异体移植术：一例报告。
Bilateral microkeratome-assisted anterior lamellar contralateral corneal autograft: a case report.
机构信息
Department of Internal Medicine, University of Tennessee Graduate School of Medicine, Knoxville, TN 37920, USA.
出版信息
Cornea. 2013 Jul;32(7):e167-8. doi: 10.1097/ICO.0b013e31828d6d6b.
PURPOSE
To present a case in which bilateral microkeratome-assisted contralateral anterior lamellar corneal autografting was used in the treatment of a patient with a stromal scar in one eye and dense amblyopia in the fellow eye.
METHODS
Case report based on chart review.
RESULTS
Anterior lamellar flaps were created in both eyes with a microkeratome. Six weeks later, central trephination through both flaps was performed, and the resulting corneal discs were switched. Visual acuity improved to 20/30 in the nonamblyopic eye 1 year after the surgery.
CONCLUSIONS
Microkeratome-assisted contralateral lamellar autokeratoplasty can be useful in the treatment of an anterior stromal scar when the fellow eye has a clear cornea and poor vision limited by untreatable noncorneal pathology.
目的
介绍 1 例采用双侧微角膜刀辅助对侧前板层角膜自体移植术治疗 1 只眼基质瘢痕伴对侧眼重度弱视的病例。
方法
基于病历回顾的病例报告。
结果
用微角膜刀在双眼中均制作前板层瓣。6 周后，通过两个瓣进行中央环钻术，然后交换角膜瓣。术后 1 年，非弱视眼的视力提高至 20/30。
结论
当对侧眼角膜透明但因无法治疗的非角膜病变而导致视力较差时，微角膜刀辅助的对侧板层自体角膜移植术对治疗前部基质瘢痕可能是有用的。
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