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穿透性角膜移植术在治疗角膜慢性水肿中的价值(作者译)

[Value of perforating keratoplasty in the treatment of chronic oedemas of the cornea (author's transl)].

作者信息

Durand L, Guillaud B, Ducournau D

出版信息

J Fr Ophtalmol. 1979 Jun-Jul;2(6-7):381-6.

PMID:385699
Abstract

A total of 75 cases of chronic diffuse or central oedemas of the cornea were treated, and the modern techniques of perforating keratoplasty used gave 68% of good anatomical results for all the various etiologies taken together. Prognosis varies according to whether there is one or many etiological factors. In "simple" cases with a single etiopathogenic mechanism, 88% of good anatomical results were obtained and the patient has a 50% chance of recuperating visual acuity from 5 to 10/10 Pa2. In "complex" cases, or when surgical treatment of the oedema had been previously attempted, only 30% of good anatomical results were obtained and there is a 60% chance of not helping the patient in any way.

摘要

共治疗了75例慢性弥漫性或中央性角膜水肿患者,采用现代穿透性角膜移植技术,综合所有不同病因,解剖学效果良好的比例为68%。预后因病因是单一还是多种因素而异。在病因机制单一的“单纯”病例中,解剖学效果良好的比例为88%,患者恢复视力至5至10/10 Pa2的几率为50%。在“复杂”病例中,或此前曾尝试对水肿进行手术治疗的情况下,解剖学效果良好的比例仅为30%,且有60%的几率对患者毫无帮助。

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