深板层角膜移植临床观察

Observation of deep lamellar keratoplasty for cornea disease

目的观察深板层角膜移植术的临床疗效及并发症。方法用甘油冷保存角膜对病变角膜行深板层角膜移植术15例（15眼）并对其疗效进行观察分析。术后随访1,4～18个月。结果术后矫正视力0．08者1眼，0．12～0．25者4眼，0．3～0．5者6眼，t〉0．6者4眼。1周内角膜植片透明11眼，2周内植片透明3眼，后弹力层固有皱褶角膜半透明1眼。术后1眼病毒性角膜炎复发角膜愈合成斑翳。其余未发现角膜排斥反应。结论深板层角膜移植术为治疗角膜病变是一种有效的方法，术后视力较好、并发症较少、对供体材料条件要求较低。

Objective To observe the clinical efficacy and complications of deep 1amellar kerato- plasty（DAKL） in patients with cornea disease. Mathods Using glycerine cryopreserved corneal tissues for deep lamellar keratoplasty in 15 cases （ 15 eyes） and it＇ s efficacy were observed and analyzed. The patients were followed up for 14 - 18 months. Results The best corrected visual acuity of all patients was improved postoperatively . 0.08 in 1,4 eyes were 0.12 - 0.25,6 eyes were 0.3 - 0.5 and ≥0.6 in 4 eyes ; 11 eyes of corneal graft transparent in 1 week, 3 graft transparent within 2 weeks, inherent wrinkle of Descement ＇ s cor-neal translucent 1 eye ; one cases of postoperative recurrent viral keratitis corneal scar nebula healing, the rest did not have corneal disease rejection. Conclusion Deep lamellar keratoplasty for the treatment of the cor-neal disease provides a safe and effective option, with good visual acuity , fewer complications, and the mate-rial condition of the donor requirement is low.