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自体同侧旋转式穿透性角膜移植术:一种预防Peter异常症中严重不可逆弱视的早期手术方法(德)
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作者 grü nauer- kloevekorn c. Bau V. +2 位作者 Weidlich R. Duncker G. 韩静 《世界核心医学期刊文摘(眼科学分册)》 2005年第7期33-33,共1页
Puprose: It is a challenge to prevent irreversible amblyopia in infants suffering from Peters anomaly. In some cases of centrally located corneal opacifications an optical sector iridectomy can not lead to a clear opt... Puprose: It is a challenge to prevent irreversible amblyopia in infants suffering from Peters anomaly. In some cases of centrally located corneal opacifications an optical sector iridectomy can not lead to a clear optical axis. The homologous penetrating keratoplasty as early surgical procedure has shown an extremely poor outcome with a high risk of irreversible graft failure. We report on the autologous ipsilateral rotating penetrating keratoplasty in an eight- week- old infant suffering from Peters anomaly. Patients: An autologous ipsilateral rotating penetrating keratoplasty was performed in an eight- week- old infant suffering from Peters anomaly to prevent irreversible amblyopia. Results: After a follow- up time of 8 months we saw a clear graft within the optical axis without any complications in wound healing. We removed the single sutures two months after keratoplasty. Postoperative astigmatism could be corrected first by fitting a special nursery contact lens and after reduction of astigmatismbecause of suture removalwe fitted special nursery glasses. The intraocular pressure remained within the normal range during the follow- up period. Conclusion: The autologous ipsilateral rotating penetrating keratoplasty should be considered superior to homologous keratoplasty in infants withPeters anomaly if sector iridectomy is not advisable because of a central corneal opacification. Resulting high refractive errors can be successfully corrected by special contact lens fitting or by nursery glasses. 展开更多
关键词 PETER 体同 植片 扇形虹膜切除术 全层角膜移植术 角膜中央 婴儿行 视轴 屈光不正 不可逆性
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