摘要
采用穿透性角膜移植治疗真菌性角膜溃疡 3 6例 3 6只眼。患者曾经过 1周以上的抗真菌药物治疗无效 ,部分溃疡扩大、加深、穿孔或即将穿孔。术后随访 1~ 3年 ,手术治愈率达 89% ,植片透明率达 75% ,视力获不同程度提高者 2 8例 ( 87 5% )。讨论了手术时机、植孔大小及术后应用激素问题。认为穿透性角膜移植治疗真菌性角膜溃疡可以控制感染、缩短病程。
Thirty six fungal corneal ulcer cases treated with penetrating keratoplasty were reported.All of the cases was not responsive to anti fungal medical treatment before the operation beyond a week.The ulcer of some cases got larger and deeper,even perforated or getting perforated.The donor,human cornea,was preserved within 24~48 hours.The postoperative follow up was 1~3 years.The cure rate was 89%.The transparence rate of the grafts was 75%, and the visual acuity was improved to various extent in 28 cases (87 5%).The best operative time,the size of the recipient bed and the administrating of steroid were discussed.The author believed that penetrating keratoplasty could control infection,shorten recover time,improve visual acuity and conserve eyeball.
出处
《眼科》
CAS
2000年第1期17-19,共3页
Ophthalmology in China
关键词
角膜移植
眼感染
真菌性
角膜溃疡
治疗
keratoplasty,penetrating
eye infections,fungal
corneal ulcer/surg