类天疱疮和史蒂文斯-约翰逊综合征中的角膜移植术。

Keratoprosthesis in pemphigoid and Stevens-Johnson syndrome.

作者信息

Dohlman C H, Terada H

机构信息

Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA.

出版信息

Adv Exp Med Biol. 1998;438:1021-5. doi: 10.1007/978-1-4615-5359-5_148.

DOI:10.1007/978-1-4615-5359-5_148

PMID:9635006

Abstract

Keratoprosthesis was implanted in 17 eyes with ocular pemphigoid and 7 eyes with Stevens-Johnson syndrome and followed for 6 months to 6 years. Visual outcomes and complications were compared. Pemphigoid was found to have a much better prognosis than did Stevens-Johnson syndrome. Keratoprosthesis is now firmly indicated in elderly pemphigoid patients whose vision in both eyes has become reduced to hand movements or less due to a corneal opacity.

摘要

对17例类天疱疮性眼病患者和7例史蒂文斯-约翰逊综合征患者植入了人工角膜，并随访6个月至6年。比较了视觉效果和并发症。发现类天疱疮的预后比史蒂文斯-约翰逊综合征好得多。对于因角膜混浊导致双眼视力降至手动或更低的老年类天疱疮患者，现在明确建议植入人工角膜。