目的:探讨穿透性角膜移植的疗效。方法:对43例43眼穿透性角膜移植进行回顾性分析。结果:统计分析表明,角膜植片透明者34例(79%),视力≥0.05者37例(86%),≥0.3者16例(37%)。发生角膜植片免疫排斥反应3例(7%),继发性青光眼1例(2%)。结论:穿透性角膜移植是部分提高角膜病患者视力的有效手段,角膜植片排斥反应是影响预后的重要因素。

AIM:To study the clinical effect of penetrating keratoplasty.METHODS:A total of 43 cases(43 eyes) with penetrating keratoplasty were retrospectively studied.RESULTS:Due to immunologic rejection,secondary glaucoma and complicated cataract,corneal graft transparence could be seen in 34 cases(79%),the visual acuity(VA) that was equal or larger than 0.05 could be seen in 37 cases(86%),the VA that was equal or larger than 0.3 could be seen in 16 cases(37%).The main complication of penetrating keratoplasty was immunologic graft rejection that could be seen in 3 cases(7%),secondary glaucoma in 1 case(2%).CONCLUSION:Penetrating keratoplasty is a very effectual method in recovering the patient’s VA partially.And immunologic graft rejection is an important factor in affecting the prognosis of the surgery.

R779.65