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[摘要]
目的:探讨穿透性角膜移植的主要病因、疗效及并发症。
方法:回顾性分析2011-01/2013-06于我院行穿透性角膜移植术的患者150例150眼。
结果:病因:角膜白斑99眼(66%),角膜变性18眼(12%),角膜溃疡15眼(10%),角膜内皮失代偿10眼(6.7%),圆锥角膜8眼(5.3%)。疗效:植片透明110例(73.3%)。视力≤0.05者42例(28%),0.05<视力≤0.3者60例(40%),视力>0.3者48例(32%)。并发症:主要并发症为免疫排斥反应28例(18.7%)。
结论:穿透性角膜移植是治疗角膜疾病致盲的重要有效手段,但术后排斥反应仍是影响手术成功的主要因素。
[Key word]
[Abstract]
AIM:To investigate the main reasons,effects and complications of penetrating keratoplasty.
METHOTS: Retrospective analysis on 150 cases(150 eyes)of penetrating keratoplasty was done from Jan.2011 to June 2013.
RESULTS: Reasons: coneal lecuma 99 eyes(66%); corneal degeneration 18 eyes(12%); corneal ulcers 15 eyes(10%); corneal endothelium decompensation 10 eyes(6.7%); keratoconus 8 eyes(5.3%). Effects: Grafts were transparent in 110 eyes(73.3%). There are 42 eyes(28%)less than or equal to 0.05 in visual acuity,60 eyes(40%)better than 0.05 and less than or equal to 0.3 and 48 eyes(32%)better than 0.3. Complication: The main complication was immune rejection(28 eyes, 18.7%).
CONCLUSION: Penetrating keratoplasty is an important and effective means for keratitis disease.
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