真菌性角膜溃疡二期复明手术

Visual Recovery after Secondary Operation for Fungal Corneal Ulcer

报告经药物治疗失败的１５例真菌性角膜溃疡，先行结膜瓣遮盖术治愈感染性病变，六个月后再行板层角膜移植术改善视功能，术后获得较好的增视效果。１４例植片透明，１例半透明，１１例视力达０．２～０．７之间。手术主要的合并症是上皮糜烂和角膜层间新生血管，并就手术治疗的时机，手术要点及手术禁忌症进行了讨论和分析。

fter failure of antifungal agent treatment,15 cases(15eyes)of fungal corneal ulcer were treated with conjunctival flap transplantation and secondary lamellar keratoplasty with good results. With conjunctival flap transplantation,all of the infections were controlled.Six months later,secondary lamellar keratoplasties were done and visual acuities were improved.In the 15 grafts,14 were transparent and 1 was semitransparent.Visual acuity was 0.2～0.7 in 11 cases.The main postoperative complications were corneal epithelial erosion and interlamellar neovascular invasion.The indications for operating time,operating principles and contraindications are discussed.