局限性角膜浅板层“坡式瓣状”清切治疗真菌性角膜炎

Local shallow ‘slope type flap appearance’ corneal excision in treatment of fungal keratitis

目的:观察局限性角膜浅板层"坡式瓣状"清切治疗真菌性角膜炎的临床效果。方法:对53例真菌性角膜炎的患者进行局限性角膜浅板层"坡式瓣状"清切。结果:患者53例53眼中,有48眼在术后3～10d角膜上皮基本愈合,平均修复时间为6.6±3.4d,前房炎症反应、房闪消失时间20.2±15.1d。视力恢复≥0.05。术前与术后视力相比,差异有统计学意义(t=10.40,P<0.01)。结论:局限性角膜浅板层"坡式瓣状"清切是治疗真菌性角膜炎的有效方法。

AIM： To study the clinical therapy effect for fungal keratitis with local shallow ‘slope type flap appearance＇ lamellar corneal excision.METHODS： Fifty-three eyes diagnosed with fungal keratitis were treated with the local shallow ‘slope type flap appearance＇ lamellar corneal excision.RESULTS： In 53 patients 53 eyes, 48 eyes corneal epithelial were basically healed in 3 to 10 days after operation. It cost an average of 6.6±3.4 days for repairing corneal epithelial, and the time for anterior chamber inflammation and artial flash was 20.2 ±15.1 days, visual recovered≥0.05. The pre-operative visual acuity compared with post-operative visual acuity, it showed significant differences（t=10.40, P0.01）.CONCLUSION： It is an effective method of local shallow ‘slope type flap appearance＇ lamellar corneal excision treatment for fungal keratitis.