Gao H
Shandong Eye Hospital, Shandong Eye Institute, Shandong Academy of Medical and Science, Jinan 250021, China.
Zhonghua Yan Ke Za Zhi. 2017 Mar 11;53(3):164-166. doi: 10.3760/cma.j.issn.0412-4081.2017.03.002.
Corneal transplant is the main treatment for blindness caused by corneal diseases. The common methods of corneal transplant include penetrating keratoplasty and lamellar keratoplasty. With the advances of microsurgical instruments and technology in recent years, deep anterior lamellar keratoplasty (DALK) has gradually increased. Compared with conventional penetrating keratoplasty, the optical effects of DALK are not much different, but DALK has fewer complications. So DALK is expected to become the mainstream of corneal transplantation. Clinical surgeons try to promote DALK in China. However, there are certain learning curves and some controversies. Therefore, we discuss the controversial issues about DALK in this article..
角膜移植是治疗角膜疾病致盲的主要手段。角膜移植的常见方法包括穿透性角膜移植术和板层角膜移植术。近年来,随着显微手术器械和技术的进步,深板层角膜移植术(DALK)逐渐增多。与传统的穿透性角膜移植术相比,DALK的光学效果差异不大,但并发症较少。因此,DALK有望成为角膜移植的主流术式。临床外科医生试图在中国推广DALK。然而,其存在一定的学习曲线且存在一些争议。因此,我们在本文中讨论有关DALK的争议问题。