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先天性混浊婴儿角膜移植的伤口愈合

Wound healing of grafts in congenitally opaque infant corneas.

作者信息

Brown S I, Salamon S M

出版信息

Am J Ophthalmol. 1983 May;95(5):641-4. doi: 10.1016/0002-9394(83)90383-5.

Abstract

Wound healing, determined by uneventful suture removal, was evaluated in 28 corneal transplants (20 eyes) with congenital corneal opacities. Seven transplants in seven eyes with the typical central corneal opacities of Peters' anomaly had suture removal between 17 and 90 days postoperatively. All seven transplants remained transparent. Corneal grafts for sclerocornea or regrafts in sclerocornea healed much more quickly than those in eyes with Peters' anomaly (as early as four days postoperatively in the 13 most recent cases). In these corneas suture microabscesses and superficial neovascularization of the wound were signs indicating wound healing and also a host inflammatory response that led to graft rejection if the sutures were not removed.

摘要

通过顺利拆线来判定伤口愈合情况,对28例(20只眼)先天性角膜混浊患者的角膜移植进行了评估。7例(7只眼)患有彼得斯异常典型中央角膜混浊的移植眼在术后17至90天之间拆线。所有7例移植眼均保持透明。硬化性角膜的角膜移植或硬化性角膜再次移植的愈合速度比患有彼得斯异常的眼快得多(在最近的13例病例中,最早在术后4天)。在这些角膜中,缝线微脓肿和伤口表面新生血管是伤口愈合的迹象,也是一种宿主炎症反应,如果不拆线会导致移植排斥。

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