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目的 :报告用角膜层间烧灼术治疗大泡性角膜病变的疗效。方法 :大泡性角膜病变 10例 ,由老年性白内障囊外摘除后房型人工晶体植入术后发病 3例 ,白内障超声乳化术后发病 4例 ,绝对期青光眼引起 2例 ,眼外伤引起 1例 ,均行角膜板层切开 ,层间烧灼角膜实质层术。结果 :术后第 1天 ,症状缓解 ,刺激症状消失。裂隙灯下见角膜水肿减轻 ,上皮水泡消失。随访 2月到 1年 ,术后视力由术前的光感及眼前手动提高至眼前手指及 0 0 4 ,刺激症状消失。结论 :此手术方法疗效肯定 ,患者创伤较小 ,治疗费用较低。
OBJECTIVE: To report the efficacy of corneal sclerotherapy for bullous keratopathy. Methods: 10 cases of bullous keratopathy were caused by posterior chamber intraocular lens implantation in senile cataract. Three cases occurred after phacoemulsification, two cases were caused by absolute glaucoma, one case was caused by ocular trauma , All underwent corneal lamellar incision, between the layers of burning corneal parenchymal surgery. Results: On the first day after operation, the symptoms were relieved and the symptoms of irritation disappeared. See corneal edema under the slit lamp to reduce epithelial blisters disappear. Follow-up from February to 1 year, postoperative visual acuity by manual preoperative light sense and immediate increase to the immediate fingers and 0 0 4, the stimulation symptoms disappear. Conclusion: The curative effect of this operation method is affirmative, patient trauma is small, treatment cost is lower.