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穿透性角膜移植术治疗角膜穿孔

[Penetrating keratoplasty in the treatment of corneal perforation].

作者信息

Gong X M, Chen J Q, Feng C M

机构信息

Zhongshan Ophthalmic Centre, Sun Yat-sen University of Medical Sciences, Guangzhou.

出版信息

Zhonghua Yan Ke Za Zhi. 1994 Jan;30(1):8-10.

PMID:8082480
Abstract

166 patients of corneal perforation from HSK, suppurative corneal ulcer and chemical or thermal burn were treated by penetrating keratoplasty. In the group of HSK, 69.8% of the grafts remained transparent and vision was restored to 0.05-1.0 in 81 cases (69.8); in the group of suppurative corneal ulcer, 40% of the grafts were transparent and vision was restored to 0.05 or better in 15 cases (37.5%); while in the group of burns, the grafts were clear only in 20% and vision was 0.05-0.6 in 3 cases (30%). The complications and causes for failure were similar to those in patients without perforation. These results indicate that timely penetrating keratoplasty is recommendable for the treatment of corneal perforations of various etiology.

摘要

对166例因单纯疱疹病毒性角膜炎(HSK)、化脓性角膜溃疡及化学或热烧伤所致角膜穿孔患者行穿透性角膜移植术。在HSK组,69.8%的移植片保持透明,81例(69.8%)患者视力恢复至0.05 - 1.0;在化脓性角膜溃疡组,40%的移植片透明,15例(37.5%)患者视力恢复至0.05或更好;而在烧伤组,仅20%的移植片透明,3例(30%)患者视力为0.05 - 0.6。并发症及失败原因与非穿孔患者相似。这些结果表明,对于各种病因所致角膜穿孔,及时行穿透性角膜移植术是可取的。

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