中国儿童角膜移植手术专家共识(2022年)

Chinese expert consensus on pediatric corneal transplantation(2022)

儿童角膜移植手术是角膜混浊患儿复明的唯一方法。由于儿童眼部解剖结构和生理发育具有特殊性,故其角膜移植手术的流程和操作,尤其围手术期和术后长期的管理,与成人患者有诸多不同。为了临床规范开展儿童角膜移植手术,提高手术的成功率和远期预后,中华医学会眼科学分会角膜病学组汇集本领域相关专家,参考国内外临床实践经验,结合循证医学证据,在儿童角膜移植手术的适应证、围手术期管理、操作规范及并发症处理等方面形成共识性意见,以供临床眼科医师在相关工作中参考。

Pediatric keratoplasty is a highly challenging and demanding procedure in children because of various intraoperative morphologic and functional factors and postoperative complications.However,it remains the only way to promote visual development and to avoid corneal blindness in infants and children with corneal opacities.Corneal transplantation in children is different from that in adults in many aspects,such as surgical techniques and clinical evaluation.Besides,it poses more emphases on the perioperative management and the long-term follow-up,because children are less cooperative when examined and are not readily complaining about symptoms.This article is aimed to provide a consensus concerning the indications,preoperative evaluation,surgical procedures and postoperative management regarding pediatric keratoplasty.The consensus,which is based on the results from discussions and consultations among domestic leading researchers and experts with extensive experiences in the related areas,targets to standardize the procedure of pediatric keratoplasty in clinical practice,to minimize the risk of graft failure and to achieve promising outcomes.