角膜粘连性白斑的术式选择及疗效分析

Evaluation of operation style and effect of the corneal adherent leukoma

目的分析角膜粘连性白斑的术式选择及疗效观察。方法21例粘连性角膜白斑施行部分全层角膜移植术，依据粘连部位、程度、虹膜张力及瞳孔位置，分别选择了粘连分离、虹膜根切、虹膜契形切除，瞳孔再造等术式。结果18例（85．89％）术后随访半年以上，获得了良好效果。结论角膜粘连性白斑的术式选择取决于患眼的粘连状态、虹膜张力及瞳孔位置，并分析了术式选择与疗效的关系。

Objective Operation style and effect of the corneal adherent leukoma wereevaluated.Method Penetrating keratoplasty was per-formed on 21 eyes with corned adherent leukoma.We also chose the synechiolysis, iridopasty, iridectomy and pupil reconstruction according to position or degree of the synechia,tension of iris and situation of pupil.Results 18 eyes(85 - 89%)had a good result even follow- up of at least 6 months.Conclusions State of the stnechia and iris or situation of pupil depend on operation style of corneal adherent leukoma.The re-port analysed relation between the operation style and prognosis.