论文部分内容阅读
目的 :探讨真菌性角膜溃疡角膜移植术后早期复发的表现及其处理。方法 :观察 9例早期复发病例之临床表现、与术式的关系、与角膜溃疡状况的关系、复发后处理及结局。结果 :早期复发率平均为 11 5 % ( 9/78) ,其中板层角膜移植术后复发率为 12 2 % ( 5 /41) ,穿透角膜移植术后复发率为 10 8%( 4 /37) ,术后平均复发天数为 6 89天。溃疡大、位置深、偏中心病例易早期复发。根据不同情况 ,处理选择前房冲洗术、结膜瓣掩盖术和穿透角膜移植术。结论 :真菌性角膜溃疡角膜移植术后一周左右最容易复发 ,复发与溃疡的形态有关。恰当的处理可挽救部分复发病例。
Objective: To investigate the early recurrence and treatment of fungal corneal ulcer after corneal transplantation. Methods: The clinical manifestations of 9 cases with early recurrence were observed, the relationship with the operative method, the relationship with the corneal ulcer status, the post-recurrence treatment and the outcome. Results: The average early recurrence rate was 115% (9/78). The recurrence rate was 122% (5/41) after lamellar keratoplasty and 108% after penetrating keratoplasty (4 / 37), the average number of days after the recurrence was 6 89 days. Large ulcers, the location of deep, partial center cases of early recurrence. Depending on the circumstances, the treatment options for anterior chamber irrigation, conjunctival flap masking and penetrating keratoplasty. Conclusion: Fungal corneal ulcer corneal transplantation after a week or so the most likely to relapse, recurrence and ulcer morphology. Proper treatment can save some cases of recurrence.