论文部分内容阅读
为观察深低温保存角膜行穿透性移植治疗角膜溃疡穿孔的效果,应用深低温保存的人尸角膜行穿透性移植治疗角膜溃疡穿孔35例(35眼)。经6~23个月的随访,34眼的角膜穿孔均被修复,并控制了感染。20眼术后植片保持透明,9眼半透明,5眼混浊,1眼单疱性角膜炎复发再次穿孔后失明;29眼视力有不同程度改善。重症虹膜炎(17.1%)、排斥反应(17.1%)和继发青光眼(14.3%)是主要术后合并症和植片失败原因。结果表明,深低温保存角膜穿透性移植是治疗角膜溃疡穿孔的有效方法。
To observe the effect of cryogenic preservation of corneal perforation on perforation of corneal ulcer, percutaneous transplanting of corneal ulcer with cryopreservation was performed in 35 cases (35 eyes). After 6 to 23 months of follow-up, 34 eyes of corneal perforation were repaired and control of the infection. Postoperatively, 20 eyes remained clear, 9 eyes were semitransparent, 5 eyes were cloudy, 1 eyes had unilateral puncture keratitis, and blindness was found after perforation; 29 eyes had some degree of vision improvement. Severe iritis (17.1%), rejection (17.1%), and secondary glaucoma (14.3%) were the major causes of postoperative complications and graft failure. The results show that cryopreservation of corneal penetrating transplantation is an effective method for the treatment of corneal ulcer perforation.