带环形巩膜瓣全角膜板层移植术治疗角膜表面衰竭Corresponding.PDFVIP

366 ·临床研究· 带环形巩膜瓣全角膜板层移植术治疗角膜表面衰竭 程丹富吕慧验安良香秦丽滕兆娥沈惠 【摘要】 目的观察带环形巩膜瓣的全角膜板层移植术治疗角膜表面衰竭的临床效果。方法移植带宽 6mm球结膜和4mill板层巩膜的全角膜板层植片，治疗7例(7眼)陈旧性化学伤及热烧伤造成的角膜表面衰 竭。结果7例角膜表面衰竭患者均I期愈合，视力提高；5例发生结膜排斥反应，3例发生角膜排斥反应，均痊 愈；全角膜板层植片1wk后逐渐透明，2个月左右层间长入新生血管；随访6个月一5年，平均24．5月，无角膜 结膜化及假性翼状胬肉发生；眼表结构稳定，视力0．1～O．5者6例，0．6者1例。结论带环形巩膜瓣的全角膜 板层移植术是治疗角膜表面衰竭的重要手段。 【关键词】结膜移植；巩膜移植；全角膜板层移植；化学伤；热烧伤；角膜表面衰竭 ofTotalLamellarCorneawithCircularLamellarScleraforCornealSurfiCml墨啦areCHENc Transplantation a1．Departmentof 276800，China Oanfu，删Htdyan，AⅣ脚泐皤，et Ophth蝴,，RizhaoPeoplesHospital，Rizhao Correspondingauthor：CHENG脚，E-mail：chengdf0633@yahoo．corn．cn evaluatetheelinicaleffectof oftotallamellarcorneawithcircularlamellar 【Abstract】Purpo∞To transplantation selemforcomealsunqcialfailure．Methods7cases(7 surficialfailurewithoutmodedchemicalandthermal eyes)ofcorneal buntswere with of niInof andmm performed totallanlellarcomea，whichcontained6 4 circular transplantation conjunctiva lamellarselera．Results7 healedfirst theirvisual were cases(7eyes)wereby intention，and acuity promoted． Wasfoundin5easesand in all lamellar reiection comealreiecfion3cases，butwerecured．Totalcorneal Conjunctival they were afterone neovaseularization abouttwomonthslater．After 铲曲s graduallytmasparentweek，and a阱蒯betweenlayers 6monthsto5 of 24．5months)，noeaseofcorneal and yearsfoUowing-up(a、rerage conjunctiva-likemetaplasia Wasfound．Visualof0．1toO．5WaSin6cases．0．6inoneease．Conclusion of pseudopteryginm acuity Transplantafion