圆锥角膜患者角膜移植的长期结果。

Long-term results of corneal transplantations in keratoconus patients.

作者信息

de Lavalette J G, de Lavalette A R, van Rij G, Beekhuis W H, de Beijer-Dominicus J A

出版信息

Doc Ophthalmol. 1985 Jan 31;59(1):93-7. doi: 10.1007/BF00162016.

DOI:10.1007/BF00162016

Abstract

In this retrospective study all 86 corneal transplantations performed for keratoconus in the Rotterdam Eye Hospital between 1969 and 1978 were included. Sixty seven perforating and 19 lamellar corneal grafts had been performed. The average follow-up was 59 months. Immune reactions occurred 12 times in 11 eyes with a perforating corneal graft (16%); in no case did this lead to permanent opacities in the graft. The visual result of the perforating graft is in general better than that of the lamellar graft. A lamellar graft is indicated, in our opinion, when the risk of trauma is high and the opportunities for follow-up insufficient, and when the peripheral cornea is markedly thin. In most cases we prefer a perforating graft because the results are better.

摘要

在这项回顾性研究中，纳入了1969年至1978年间在鹿特丹眼科医院为圆锥角膜进行的所有86例角膜移植手术。其中实施了67例穿透性角膜移植和19例板层角膜移植。平均随访时间为59个月。11只接受穿透性角膜移植的眼睛发生了12次免疫反应（16%）；在任何情况下，这均未导致移植片永久性混浊。穿透性移植的视觉效果总体上优于板层移植。我们认为，当外伤风险高且随访机会不足，以及周边角膜明显变薄时，适合进行板层移植。在大多数情况下，我们更倾向于穿透性移植，因为其效果更好。