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角膜移植手术适应症(Indications for keratoplasty)
角膜移植手术适应症(Indications for keratoplasty)
Indications for corneal transplantation?
Corneal grafts are commonly penetrating keratoplasty and lamellar keratoplasty, each with its indication:
(1) penetrating keratoplasty is a method of replacing the diseased cornea with the whole layer (i.e., all 5 layers) of normal cornea. This method of operation is to use a certain diameter of the ring to remove the lesion of the entire layer of cornea, and then with the same caliber or slightly larger ring, cut the donor cornea, and suture tightly on the patients cornea.
Penetrating keratoplasty, indication:
Corneal scarring, functional decompensation of corneal endothelial cells, and severe chemical injuries.
Genetic inheritance of corneal diseases such as congenital corneal dysplasia, congenital corneal opacity and corneal dystrophy; common granular, patchy and lattice corneal dystrophy.
The completion of keratoconus.
Corneal penetrating keratoplasty should be considered when severe corneal infection or perforation is involved.
?? The other: such as corneal rupture, corneal staining, corneal staining, corneal thermal burns, corneal transparency reduced.
?? (2) lamellar corneal transplantation is part of the organization to components for operation of corneal surgery, removal of superficial corneal tissue lesions, deep well still remains as a corneal transplant bed, then take the same size and thickness of the cornea, transplantation in patients with corneal suture on the bed. Lamellar keratoplasty is an operation performed outside the eye. It does not disturb the intraocular tissue and has less complications.
Lamellar keratoplasty, indication:
Keratoconus in the early and middle stage without scar.
Corneal scarring and multiple foreign bodies.
Corneal degeneration and malnutrition: mainly used in marginal corneal degeneration and corneal stromal dystrophy.
?? The congenital corneal abnormalities such as: Childrens corneal dermoid.
Chemical corneal injuries.
?? The corneal immune di
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