婴幼儿供体角膜及人工角膜在眼前并眼后段病变中的应用.pdfVIP

实用临床医学2007年第8卷第l2期 PracticalClinical Medicine，2007，Vol 8，Nol2 · 93 · 婴幼儿供体角膜及人工角膜 在眼前并眼后段病变中的应用 叶 波，周文天，吴 蓉 (南昌大学第二附属医院眼科，南昌330006) 摘要：目的：评价应用临时人工角膜及婴幼儿供体角膜进行穿透性角膜移植联合眼后节手术的安全性及治疗效 果。方法：对复杂性眼球穿通伤所致角膜混浊同时伴有玻璃体视网膜病变8例患者8眼，施行临时人工角膜下的 经睫状体平坦部的闭合式玻璃体切除、球内异物取出、视网膜复位、硅油充填、穿透性角膜移植等联合手术。结果： 术后随访3月～2年，6眼视力较术前提高，其中2眼矫正视力0．1，4眼矫正视力0．02～0．1，2眼视力无提高。 角膜移植片7眼透明，1眼角膜产生排斥反应。视网膜脱离 6眼中，4眼复位，2眼再次发生视网膜脱离。结论：应 用临时人工角膜及婴幼儿供体角膜进行玻璃体手术联合穿透性角膜移植术是治疗严重眼前后节受伤患者的一种 有效手术方法。 关键词：临时人工角膜；婴幼儿角膜供体；穿透性角膜移植术；玻璃体手术 中图分类号：R772．2 文献标识码：A 文章编号：1009—8194(2007)12—0093—03 Application of Infant nor Cornea and Temporary Keratoprosthesis for Ocular Disease of Anterior and Posterior Segment YE Bo，ZHOU Wen-tian，WU Rong (Department of Ophthalmology，the Second Affiliated Hospital of Nanchang University， Nanchang 330006，China) Abstract：Objective：To evaluate the efficacy and safety of penetrating keratoplasty and posterior segments with temporary keratoprosthesis and infant donor cornea used in combined operations． Methods：With temporary keratoprosthesis a combined operation including pars plana vitrectomy， extraction of intraocular foreign body，retinal reattachment，silicone oil injection and penetrating keratoplasty was performed on 8 eyes of 8 patients with complicated perforating wound of eyeball and vitreoretinopathy． Results：Each case was followed—up for 3～24 months，the visual acuity was increased in 6 eyes，corrected visual acuity was 0．1 or better in 2 eyes，corrected visual acui— ty was among 0．02 tO．1 in 4 eyes and was not increased in 2 eyesvisual acuity．The grafts of 7 eyes remained transparent，cornea rej ection(1 eye)．In 6 eyes retinal detachment，4 eyes were retinal reattachment，