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角膜成分手术:最新进展。

Component corneal surgery: An update.

作者信息

Maharana Prafulla K, Sahay Pranita, Singhal Deepali, Garg Itika, Titiyal Jeewan S, Sharma Namrata

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2017 Aug;65(8):658-672. doi: 10.4103/ijo.IJO_582_17.

DOI:10.4103/ijo.IJO_582_17
PMID:28820150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5598175/
Abstract

Several decades ago, penetrating keratoplasty was a challenge to corneal surgeons. Constant effort by the corneal surgeon to improve the outcomes as well as utilization of the available resources has led to a revolutionary change in the field of keratoplasty. All these efforts have led to the evolution of techniques that allow a corneal surgeon to disease-specific transplant of individual layers of corneal "so-called component corneal surgery" depending on the layer of cornea affected. This has led to an improvement in corneal graft survival as well as a better utilization of corneal tissues. This article reviews the currently available literature on component corneal surgeries and provides an update on the available techniques.

摘要

几十年前,穿透性角膜移植术对角膜外科医生来说是一项挑战。角膜外科医生不断努力改善手术效果并合理利用现有资源,这在角膜移植领域带来了革命性的变化。所有这些努力促使了相关技术的发展,使角膜外科医生能够根据受影响的角膜层进行针对特定疾病的角膜各层单独移植,即“所谓的成分角膜手术”。这提高了角膜移植的存活率,也更好地利用了角膜组织。本文回顾了目前关于成分角膜手术的现有文献,并提供了现有技术的最新情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44bf/5598175/e65689f249bf/IJO-65-658-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44bf/5598175/3da5246b4aa5/IJO-65-658-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44bf/5598175/d8b9921c41e6/IJO-65-658-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44bf/5598175/e65689f249bf/IJO-65-658-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44bf/5598175/3da5246b4aa5/IJO-65-658-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44bf/5598175/d8b9921c41e6/IJO-65-658-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44bf/5598175/e65689f249bf/IJO-65-658-g005.jpg

相似文献

1
Component corneal surgery: An update.角膜成分手术:最新进展。
Indian J Ophthalmol. 2017 Aug;65(8):658-672. doi: 10.4103/ijo.IJO_582_17.
2
[Developments in corneal transplants: lamellar techniques emerging].[角膜移植的进展:层状技术崭露头角]
Ned Tijdschr Geneeskd. 2013;157(38):A6096.
3
[Selective principle of modern approaches in keratoplasty].
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4
Pediatric corneal transplants.小儿角膜移植
Curr Opin Ophthalmol. 2017 Sep;28(5):477-484. doi: 10.1097/ICU.0000000000000393.
5
Anterior lamellar keratoplasty: 'Back to the Future'- a review.前板层角膜移植术:“回到未来”- 综述。
Clin Exp Ophthalmol. 2010 Mar;38(2):118-27. doi: 10.1111/j.1442-9071.2009.02180.x. Epub 2009 Nov 30.
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Future directions in lamellar corneal transplantation.板层角膜移植的未来发展方向。
Cornea. 2007 Oct;26(9 Suppl 1):S21-8. doi: 10.1097/ICO.0b013e31812f685c.
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Changing pattern of utilization of human donor cornea in India.印度人类供体角膜利用模式的变化
Indian J Ophthalmol. 2015 Aug;63(8):654-8. doi: 10.4103/0301-4738.169790.
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A new era in corneal transplantation: paradigm shift and evolution of techniques.角膜移植的新纪元:技术的范式转变与演进。
Hong Kong Med J. 2012 Dec;18(6):509-16.
9
Shaped corneal transplantation surgery.塑形性角膜移植术。
Br J Ophthalmol. 2021 Jan;105(1):9-16. doi: 10.1136/bjophthalmol-2019-315754. Epub 2020 Mar 25.
10
Development of Selective Lamellar Keratoplasty within an Asian Corneal Transplant Program: The Singapore Corneal Transplant Study (An American Ophthalmological Society Thesis).亚洲角膜移植项目中选择性板层角膜移植术的发展:新加坡角膜移植研究(美国眼科学会论文)
Trans Am Ophthalmol Soc. 2015;113:T10.

引用本文的文献

1
Commentary: Early changes in host and donor lenticule thickness after Descemet stripping endothelial keratoplasty.评论:后弹力层剥除内皮角膜移植术后宿主和供体角膜瓣厚度的早期变化
Indian J Ophthalmol. 2022 Feb;70(2):534-535. doi: 10.4103/ijo.IJO_2707_21.
2
Commentary: A simple surgical technique for splitting a single donor eye for both deep anterior lamellar keratoplasty and Descemet membrane endothelial keratoplasty without a microkeratome.评论:一种无需微型角膜刀将单个供体眼角膜分割用于深层前板层角膜移植术和后弹力层内皮角膜移植术的简单手术技术。
Indian J Ophthalmol. 2021 Sep;69(9):2445-2446. doi: 10.4103/ijo.IJO_1109_21.
3

本文引用的文献

1
Descemet stripping automated endothelial keratoplasty.深板层角膜内皮移植术
Indian J Ophthalmol. 2017 Mar;65(3):198-209. doi: 10.4103/ijo.IJO_874_16.
2
Endothelium-in versus endothelium-out for Descemet membrane endothelial keratoplasty graft preparation and implantation.用于Descemet膜内皮角膜移植术移植物制备和植入的内皮向内与内皮向外方法
Acta Ophthalmol. 2017 Mar;95(2):194-198. doi: 10.1111/aos.13162. Epub 2016 Jul 16.
3
Novel liquid bubble dissection technique for DMEK lenticule preparation.用于DMEK晶状体准备的新型液体气泡切割技术。
Demographic and clinical profile, surgical outcome, and quality of life in patients who underwent bilateral lamellar corneal grafts.
接受双侧板层角膜移植的患者的人口统计学和临床特征、手术结果和生活质量。
Indian J Ophthalmol. 2021 Jul;69(7):1747-1752. doi: 10.4103/ijo.IJO_3194_20.
4
Preferred practice pattern and observed outcome of deep anterior lamellar keratoplasty - A survey of Indian corneal surgeons.深板层角膜移植术的临床实践和观察结果——对印度角膜外科医生的调查。
Indian J Ophthalmol. 2021 Jun;69(6):1553-1558. doi: 10.4103/ijo.IJO_3067_20.
5
Four in one: Four recepients with a single donor tissue - A novel concept for eye transplantation surgery post-COVID-19.四位受者共用一位供者组织——COVID-19 后眼移植手术的新概念。
Indian J Ophthalmol. 2020 Nov;68(11):2471-2474. doi: 10.4103/ijo.IJO_1602_20.
Graefes Arch Clin Exp Ophthalmol. 2016 Sep;254(9):1819-23. doi: 10.1007/s00417-016-3377-z. Epub 2016 May 21.
4
Contact Lens-Assisted Pull-Through Technique for Delivery of Tri-Folded (Endothelium in) DMEK Grafts Minimizes Surgical Time and Cell Loss.接触镜辅助经襻提拉技术在三折叠(内皮在内)DMEK 移植物中的应用可最大程度减少手术时间和细胞丢失。
Ophthalmology. 2016 Mar;123(3):476-83. doi: 10.1016/j.ophtha.2015.10.050. Epub 2015 Dec 11.
5
Results of Deep Anterior Lamellar Keratoplasty for Advanced Keratoconus in Children Less Than 18 Years.
Am J Ophthalmol. 2016 Feb;162:191-198.e2. doi: 10.1016/j.ajo.2015.11.020. Epub 2015 Nov 18.
6
Graft preparation for hemi-Descemet membrane endothelial keratoplasty (hemi-DMEK).半厚角膜后弹力层内皮角膜移植术(hemi-DMEK)的植片制备
Br J Ophthalmol. 2016 Mar;100(3):420-4. doi: 10.1136/bjophthalmol-2015-307335. Epub 2015 Oct 27.
7
The S-stamp in Descemet Membrane Endothelial Keratoplasty Safely Eliminates Upside-down Graft Implantation.撕囊镊在撕囊膜内皮角膜移植术中安全消除了上下颠倒的移植物植入。
Ophthalmology. 2016 Jan;123(1):161-4. doi: 10.1016/j.ophtha.2015.08.044. Epub 2015 Oct 4.
8
Larger Descemetorhexis to Improve Graft Adhesion in Descemet Membrane Endothelial Keratoplasty Does Not Cause Postoperative Peripheral Corneal Edema.在Descemet膜内皮角膜移植术中扩大后弹力层撕除范围以改善植片黏附不会导致术后周边角膜水肿。
Eye Contact Lens. 2015 Nov;41(6):344-8. doi: 10.1097/ICL.0000000000000125.
9
Comparison of Sulfur Hexafluoride 20% versus Air Tamponade in Descemet Membrane Endothelial Keratoplasty.比较 20%六氟化硫气体与空气在撕囊后的角膜内皮移植术中的应用。
Ophthalmology. 2015 Sep;122(9):1757-64. doi: 10.1016/j.ophtha.2015.05.013. Epub 2015 Jun 16.
10
Standardized DMEK Technique: Reducing Complications Using Prestripped Tissue, Novel Glass Injector, and Sulfur Hexafluoride (SF6) Gas.标准化的角膜后弹力层内皮移植术(DMEK)技术:使用预剥离组织、新型玻璃注射器和六氟化硫(SF6)气体减少并发症
Cornea. 2015 Aug;34(8):845-52. doi: 10.1097/ICO.0000000000000479.