Ghoraishi M, Akova Y A, Tugal-Tutkun I, Foster C S
Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston 02114, USA.
Cornea. 1995 Nov;14(6):610-3.
Penetrating keratoplasty (PK) may be required for visual rehabilitation or tectonic purposes in patients with severe keratopathy due to atopic keratoconjunctivitis (AKC). The outcome of PK is often poor in such patients because of adnexal and ocular surface abnormalities. We studied nine AKC patients requiring PK and evaluated the visual outcome and prognostic factors in 11 eyes. The mean follow-up was 87.2 months (range, 30-180 months). Preoperatively all patients had visual acuity of hand motion to 20/200. Eighteen grafts were performed. Final visual acuity was 20/40 or better in 46% of the eyes. Ten eyes retained clear grafts and improved an average of 4.5 Snellen acuity lines.
对于患有特应性角结膜炎（AKC）导致严重角膜病变的患者，穿透性角膜移植术（PK）可能用于视力康复或结构修复。由于附属器和眼表异常，此类患者的PK结果往往较差。我们研究了9例需要进行PK的AKC患者，并评估了11只眼的视力结果和预后因素。平均随访时间为87.2个月（范围30 - 180个月）。术前所有患者的视力为手动到20/200。共进行了18次移植。46%的患眼最终视力达到20/40或更好。10只眼的移植片保持清晰，平均视力提高了4.5行斯内伦视力表。
