摘要
报告了单疱角膜炎、化脓性角膜溃疡及热或化学烧伤继发角膜穿孔166例,用穿透性角膜移植治疗,全部病例的角膜穿孔均被修复,并控制了感染。单疱角膜炎组的植片透明率为69.8%,视力恢复至0.05~1.0者为69.8%;化脓性角膜溃疡组透明率为40.0%,视力恢复至0.05以上者为37.5%;热或化学烧伤组透明率为20.0%,视力恢复至0.05~0.6者为30.0%。术后主要并发症及植片失败原因与非穿孔病例角膜移植的结果大致相似。因此,我们建议对各种原因引起的角膜穿孔,争取及时采用角膜移植治疗。
Abstract166 patients of corneal perforation fromHSK,suppurative corneal ulcer and chemical orthermal burn were treated by penetrating keratoplasty.In the group of HSK,69.8% of the grafts remainedtransparent and vision was restored to 0.05-1.0 in 81cases(69.8):in the group of suppurative corneal ulcer,40% of the grafts were transparent and vision was re-stored to 0.05 or better in 15 cases(37.5%);while inthe group of burns,the grafts were clear only in 20%and vision was 0.05-0.6 in 3 cases(30%).The compli-cations and causes for failure were similar to those inpatienrs without perforation.These results indicatethat timely penetrating keratoplasty is recommendablefor the treatment of corneal perforations of variousetiology.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1994年第1期8-10,共3页
Chinese Journal of Ophthalmology