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find Keyword "角膜移植" 3 results
  • Surgical treatment for severe ocular rupture with blood staining of cornea and non-light perception

    Objective To evaluate the effects of surgical treatment for severe ocular rupture with blood staining of cornea and non-light perception , and analyze the relative factors. Methods Seven severely rup tured eyes of 7 patients with blood staining of cornea and non-light perception underwent second-stage penetrating keratoplasty combined with vitrectomy using temporary keratoprosthesis. All injured eyes had blood staining of cornea, hemorrhage in anterior chamber and vitreous, and choroidal and retinal detachment before the second-stage surgery. The average interval of the two surgical stages was 18 days (12-21 days). The preoperative visual acuity was non-light percept ion in all injured eyes with the mean intraocular pressure of 3 mm Hg (1 mm Hg =0.133 kPa) (2-5 mm Hg).The mean follow-up period was 12 months (6-30 months). Results The postoperative visual acuity was better than light perception in 5 eyes with the best corrected visual acuity of light perception to 0.06. The retina was attached in 5 eyes (5/7). The mean postoperative intraocular pressure was 12 mm Hg(5-15 mm Hg)which was significantly higher than the preoperative one (Plt;0.05). Postoperative complications mainly included temporary intraocular hypertension (1 eye), corneal neovasculariza tion (4 eyes), cornea rejection (4 eyes), and ocular atrophy (2 eyes). Conclusion Penetrating keratoplasty combined with vitrectomy using temporary keratoprosthesis is a safe and effective method in treating severe ocular rupture with blood staining of cornea and non-light perception. (Chin J Ocul Fundus Dis,2004,20:212-214)

    Release date:2016-09-02 05:58 Export PDF Favorites Scan
  • 复杂性眼球穿通伤行玻璃体切除联合穿透性角膜移植术

    目的:分析探讨玻璃体切除联合穿透性角膜移植术对复杂性眼球穿通伤的治疗价值。 方法;对18例复杂性眼球穿通伤致角膜瘢痕性混浊同时伴有玻璃体、视网膜病变患者的18只眼,应用临时人工角膜I期完成经睫状体平坦部的闭合式玻璃体切除、视网膜复位、穿透性角膜移植等联合手术。 结果:术后随访6个月一2年,14例角膜植片透明,16例视网膜复位。15例患者矫正视力为指数/1m以上,10只眼脱盲,6只眼脱残。 结论:应用现代显微手术设备和技巧,对严重眼前后节复杂性眼外伤患者,行玻璃体切除联合穿透性角膜移植术,可以使多数伤眼眼球保存和复明。 (中华眼底病杂志,1997,13:102-103)

    Release date:2016-09-02 06:12 Export PDF Favorites Scan
  • Corticosteroids Combined With Cyclosporine for Penetrating Keratoplasty Recipients: A MetaAnalysis

    目的:评价皮质激素联合环孢素对比皮质激素单用防治穿透性角膜移植(PKP)术后排斥反应的疗效。方法:计算机检索PubMed,EMBASE.com,SCI,Cochrane图书馆,CBM,CNKI数据库,纳入皮质激素联用环孢素对比皮质激素单用防治PKP术后排斥反应的随机对照试验,进行方法学质量评价并应用RevMan软件进行meta分析。结果:共纳入5篇报道,1篇A级文献,B、C级各2篇。Meta结果:术后排斥反应发生情况组间差异有统计学意义(RR=0.3,95%CI 0.140.65);对既发排斥反应的逆转,组间差异无统计学意义(RR=1.15,95%CI 0.93-1.42)。结论:基于当前证据,皮质激素联合环孢素防治PKP术后排斥反应疗效并不优于皮质激素单用。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
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