穿透性角膜移植术后创伤性伤口裂开
Traumatic wound dehiscence after penetrating keratoplasty.
作者信息
Rohrbach J M, Weidle E G, Steuhl K P, Meilinger S, Pleyer U
机构信息
University Eye Hospital, Department I, Tübingen, Germany.
出版信息
Acta Ophthalmol Scand. 1996 Oct;74(5):501-5. doi: 10.1111/j.1600-0420.1996.tb00608.x.
BACKGROUND
Traumatic wound dehiscence after penetrating keratoplasty is probably underestimated.
PATIENTS
From the files of the University Eye Hospital Tübingen (1981-1993), 15 patients with a traumatic wound dehiscence after penetrating keratoplasty were investigated.
RESULTS
Latency between corneal grafting and wound rupture ranged from 1 month to 25 years (mean 6.2 years). Wound dehiscence was quite evenly distributed over the circle. Intraocular tissue was lost to a variable extent. Three eyes were primarily or secondarily enucleated. Seven eyes (47%) with an originally reduced but useful vision became blind or were removed. Most (67%) of the resutured grafts lost transparency.
CONCLUSIONS
Traumatic wound dehiscence is a serious and not very rare complication after penetrating keratoplasty. Functional results are poor.
背景
穿透性角膜移植术后创伤性伤口裂开可能被低估。
患者
从图宾根大学眼科医院的档案（1981 - 1993年）中，对15例穿透性角膜移植术后出现创伤性伤口裂开的患者进行了调查。
结果
角膜移植与伤口破裂之间的潜伏期为1个月至25年（平均6.2年）。伤口裂开在圆周上分布相当均匀。眼内组织有不同程度的损失。3只眼被一期或二期摘除眼球。7只眼（47%）原本视力减退但仍有用，最终失明或被摘除。大多数（67%）重新缝合的移植片失去了透明度。
结论
创伤性伤口裂开是穿透性角膜移植术后一种严重且并非罕见的并发症。功能结果较差。
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