Watson P G
Addenbrooke's Hospital, Cambridge, England.
Ophthalmology. 1987 Nov;94(11):1452-64. doi: 10.1016/s0161-6420(87)33276-2.
Since 1975, 51 patients (55 eyes) have required corneal surgery for immunologically induced destructive corneal and scleral disease. Lamellar keratoplasty is the preferred surgical procedure provided the cornea is not perforated. Surgery will not be successful unless any underlying systemic disease or active ocular inflammatory disease has been treated previously. Anterior segment fluorescein angiography has been found useful in detecting those patients who might require surgery, in monitoring the effect of medical therapy and in deciding the extent of the surgical procedure. The advantages and limitations of the technique are discussed.
自1975年以来，51例患者（55只眼）因免疫性诱导的角膜和巩膜破坏性疾病而需要进行角膜手术。如果角膜未穿孔，板层角膜移植术是首选的手术方式。除非先前已治疗任何潜在的全身性疾病或活动性眼部炎症性疾病，否则手术不会成功。已发现前段荧光素血管造影在检测可能需要手术的患者、监测药物治疗效果以及决定手术范围方面很有用。本文讨论了该技术的优点和局限性。
