Straub W
Klin Monbl Augenheilkd. 1977 Mar;170(3):460-9.
Firstly the different methods of surgical replacement of the conjunctiva are discussed. Despite certain disadvantages buccal mucosa is often transplanted. More useful and easier is the use of lyophilized human donor conjunctiva. In 10 years we have operated on 110 eyes in 76 patients according to this method. In some eyes conjunctiva of different donors was used, often the whole conjunctival sack had to be reestablished. A brief description is given of winning the donor material, or surgical grafting technique and results, and one of the case histories of the patients is given. No transplant rejection occured, probably because there are no specific proteins or enzyme activities in the lyophilized tissue. Sometimes in pemphigus and similar diseases the tissue will again be included into areas of contracture. After chemical injuries and burns the end of inflammatory signs should be awaited before grafting.
首先讨论结膜手术置换的不同方法。尽管存在某些缺点，但颊黏膜仍常被移植。更有用且更简便的是使用冻干人供体结膜。在10年里，我们根据此方法为76例患者的110只眼睛进行了手术。在一些眼睛中使用了不同供体的结膜，通常整个结膜囊都必须重新构建。简要描述了获取供体材料的方法、手术移植技术及结果，并给出了其中一位患者的病例史。未发生移植排斥反应，可能是因为冻干组织中没有特定的蛋白质或酶活性。有时在天疱疮及类似疾病中，组织会再次陷入挛缩区域。化学伤和烧伤后，应等待炎症迹象消退后再进行移植。
