结膜瓣移盖术联合瓣下垫片术治疗穿孔性真菌性角膜炎

Perforated fungar keratitis treated with conjunctival flap and padded lamellal.

目的 探讨一种治疗穿孔性真菌性角膜炎的新手术方式。方法 回顾性总结自体结膜瓣移盖术联合异体部分板层角膜或巩膜瓣下垫片治疗穿孔性真菌性角膜炎 17例的治疗效果。结果 随访 6～ 18月 ,平均 11月 ,一次手术达到封闭角膜穿孔并治愈真菌性角膜溃疡 13例 ,真菌复发或结膜瓣融解再次穿孔 4例 ,一过性眼压升高 10例。术后视力较术前有一定提高。结论 该手术具有取材方便、封闭穿孔、治疗真菌性角膜炎等优点。

Objective To discuss a new surgical technique for treating perforated fungal keratitis.Methods The allograft consisted of lamellar cornea or sclera was used to close corneal perforation and autogenous conjunctival flap to cover the diseased area after putting the graft for treatment of perforated fungal keratitis in 17 patients (17 eyes).The therapeutic effects were retrospectivly evaluated.Results 6～18 months follow up (mean 11 months),with ones operation,there were 13 cases whose perforation were closed and ulcer was disappeerance,so visual acuity in these eyes were better,there were 4 cases whose ulcer were recure,these conjunctival flap were 10 cases whose intraocular tension were raised temporarily.Conclusions This surgical technique is a newly pragmatic mode which are the characteristics of getting these grafts easier, closing perforations and curing fungal keratitis,etc.