Fresh Amniotic Membrane Transplantation Combined Lamellar Keratoplasty for Patients with Recurrent M

来源 :眼科学报 | 被引量 : 0次 | 上传用户:chinagood111
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Purpose: To investigate the possibility of amniotic membrane as an immunologicalinsulating band to reduce the recurrent frequency of Moorens ulcer.Methods: Twelve cases(12 eyes)with recurrent Moorens Ulcer were observed. Amongthem, 4 cases(4 eyes)were male and 8 cases(8 eyes) female, ranging in age between 26and 51 years[mean(41 ± 3)years]. Three eyes recurred once, 5 eyes twice, and 4 eyesthree before. Eleven of 12 cases (11/12 eyes)with frequently recurrent Moorens ulcerunderwent lamellar keratoplasty combined amniotic membrane transplantation(AMT).One patient who had entire corneal ulceration accepted AMT alone.Results: Follow-up time is 12 to 29 months, [mean (23 ± 6) months]. Before AMT, therecurrent frequency of Moorens Ulcer of all cases after corneal surgery was 1 ~ 7 months[mean(3 ± 2)months]. Nine of 12 eyes with lamellar keratoplasty combined AMT did notrecur within the observation period; 2 eyes recurred 11 months after the surgery. Threemonths postoperatively, neovascularization was observed, which made it nearly impossibleto decipher between amniotic membrane and its nearby conjunctiva, only at the junctionof the transplant can some trails be observed. One case with entire AMT alone showedgraft resolution and neovascularization in 1 month.Conclusion:AMT combined with lamellar keratoplasty and lesion excision may delayrecurrence of Moorens Ulcer, reduce its recurrent frequency. Besides the effects ofdecreasing inflammation, it may have immunological insulating function as well. Thisconclusion should be proven by further clinical comparative study of much moresamples.
其他文献
2006~2010年连续5年在江苏省血吸虫病流动监测点江阴市璜土镇开展血吸虫病疫情监测,结果显示,璜土镇5年中均未发现钉螺面积和血吸虫病新病人,监测结果表明,现阶段的防治措施取
目的 报道2名儿童意外受192Ir迁延照射数月的诊治经过.方法 依据临床表现,生物、物理剂量估算及化验检查,综合分析明确诊断.加强对症、支持治疗,全面检查各项相关指标.结果
本文通过对陕西省现有医疗机构及医药院校临床医学专业人才培养的现状,研讨了陕西中医学院作为一所中医院校,抓住机遇,顺应陕西经济社会发展需要,设置临床医学专业,不断深化
高等院校大学生的宿舍文化是校园文化的重要组成部分.宿舍文化具有深厚的内涵和较强的教育功能,对大学生的心理健康起着潜移默化的作用.本文通过分析宿舍文化的特点及对大学
自1998年1月~2000年3月,笔者对我院心血管科、急症科就诊和收住院的171例不稳定性心绞痛(UAP)患者血清C反应蛋白(CRP)浓度进行了检测,发现与患者的急性心肌梗死(AMI)、心脏猝
文章阐述了业务流程重组和信息技术的关系,并联系实际讨论了如何应用业务流程重组理论进行门诊信息化建设,以及业务流程重组理论在门诊信息化建设中的应用体会.
目的:探讨喉癌肉瘤的临床表现、治疗、预后及病理特点。方法:对喉癌肉瘤2例临床资料进行分析。结果:喉癌肉瘤以声嘶为主述,病理镜下可见癌和肉瘤两种成分,手术治疗效果好。结
目的:为了探讨经γ射线辐射的单层人羊膜作为生物敷料用于颜面创伤创面的临床治疗的有效保护作用. 方法我们对颜面105个创伤创面对照贴敷人羊膜和油纱条,进行临床观察治疗.
目的:探索合成Aβ1-15多重抗原肽疫苗的方法,并对其免疫学活性进行鉴定.方法:采用间接偶联法合成8分支Aβ1-15多重抗原肽(MAP),通过高效反相液相色谱(RP-HPLC)、SDS-PAGE以及