自体结膜瓣覆盖术治疗真菌性角膜溃疡

Clinical observation of autologous conjunctival flap covering for the treatment of fungal corneal ulcer

目的评价自体结膜瓣覆盖术治疗真菌性角膜溃疡的临床效果。方法126例（126眼）真菌性角膜溃疡行自体结膜瓣覆盖术，术后随访6个月，对术后视力、复发和结膜瓣情况进行统计分析。结果治愈118例占93．65％，复发8例占6．35％，视力较术前提高者108例占85．71％，102例结膜瓣血管萎缩仅残留片状角膜薄翳，占80．95％。结论自体结膜瓣覆盖术是治疗真菌性角膜溃疡的有效方法。

Objective To evaluate clinical efficacy of conjunctival flap covering for the treatment of fungal corneal ulcer. Methods 126 patients （126 eyes） diagnosed as fungal corneal ulcer accepted con- junctival flap covering surgery and were followed-up for 6 months after the operation. The vision, recurrence and conjunctival flap transformation were statistically analysed. Results 118 cases（ll8 eyes） were cured （93.65%）. Recurrence of 8 cases （8 eyes, 6.35% ） were observed. 108 eyes （85.71%） obtained better visual acuities. 102 cases （ 102 eyes, 80.95% ） had corneal nebula formation with conjunctival flap vascular atrophy. Conclusion Autologous conjunetival flap covering is an effect method for the treatment of fungal corneal ulcer.