Vajpayee R B, Angra S K, Honavar S G, Taherian K
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansarinagar, New Delhi.
Cornea. 1994 Jan;13(1):16-9. doi: 10.1097/00003226-199401000-00004.
Adherent leukomatous corneal opacities constitute the bulk of cases undergoing keratoplasty in developing countries. Surgical trauma to the iris resulting in a large iris coloboma, iridodialysis, and bleeding are the imminent intraoperative complications in such cases. We have evolved a technique of lamellar separation of corneal layers and gentle separation of adherent iris after partial trephination in such cases. We have successfully used this technique in six cases of adherent leukoma. No intra-or postoperative complication related to lamellar separation was encountered, and all the grafts remained clear at the end of 3 months.
在发展中国家，粘连性角膜白斑构成了接受角膜移植手术病例的大部分。手术对虹膜造成创伤，导致大的虹膜缺损、虹膜根部断离和出血，是这类病例术中即刻出现的并发症。在这类病例中，我们改进了一种技术，即在部分环钻后进行角膜层状分离和轻柔分离粘连的虹膜。我们已在6例粘连性角膜白斑病例中成功应用了该技术。未遇到与层状分离相关的术中或术后并发症，且所有移植片在3个月末仍保持透明。
