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高危患者穿透角膜移植联合环状角膜缘移植术 被引量:1

Clinical study on the effect of the penetrating keratoplasty combined with ring-shaped limbal transplantation on high-risk patients.
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摘要 目的 评价高危患者行穿透性联合环状角膜缘角膜移植术的远期效果。方法  18例高危患者行穿透性联合环状角膜缘角膜移植术 ,术后随访 10~ 3 1月 ,平均 19 5 6月。观察术后视力变化及术后不同阶段的排斥反应发生率。结果 术后视力有不同程度的提高 ,排斥例数术后 3月内 3例 (16 67% ) ,术后 6月 4例 (2 2 2 2 % ) ,术后 12月 6例 (3 3 3 3 % ) ,术后 3 1月 8例 (4 4 44 % )。结论 对部分高危患者进行穿透角膜移植联合环状角膜缘移植可降低术后排斥率 。 Objective To evaluate the long term effect of the penetrating keratoplasty combined with ring shaped limbal transplantation (PKPLT) on high risk patients.Methods Eighteen hihg risk eyes(18 patients) were evaluated by vision,rejection and total rejection rate after PKPLT.The mean following up was 19.56 months(10 to 31 months).Results The post operative visual acuity was improved in different level.The number of rejection 3,6,12 and 31 months postoperativily was 3 (16.67%) ,4(5.56%),6(22.22%) and 8(44.44%) respectively.Conclusions PKPLT is an efective surgery in reducing graft rejection as well as obtaining a stable ocular surface in high risk patients.
出处 《眼外伤职业眼病杂志》 北大核心 2002年第5期493-494,共2页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 高危患者 穿透角膜移植 环状角膜缘移植术 角膜缘干细胞 排斥反应 Keratoplasty High risk Limbal stem cell Allograft rejection
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