大气泡技术联合湿剥法深板层角膜移植术

目的：介绍大气泡技术联合湿剥法深板层角膜移植术。方法：选择2016 年1 月至2017 年6 月期间在温州医科大学附属眼视光医院因单纯疱疹病毒性角膜炎（HSK）拟行大气泡技术联合湿剥法深板层角膜移植术患者59例（59眼）。术中行大气泡技术联合深板层角膜移植时，如遇2型大气泡或小气泡，改湿剥法完成手术。结果：59 眼均成功行深板层角膜移植术，无一例出现术中微穿孔，术中2 型大气泡占71%。结论：HSK患者术中可出现高比例2 型大气泡，出现2 型大气泡或小气泡改湿剥法钝性分离，保留后弹力层前膜，手术安全。

Big-Bubble Combined with Wet-Peeling Technique during Deep Anterior Lamellar Keratoplasty

Objective: To introduce the surgical technique of big-bubble combined with the wet-peeling technique for deep anterior lamellar keratoplasty. Methods: Form January 2016 to June 2017, 59 Herpes simplex keratitis (HSK) patients at Eye Hospital, Wenzhou Medical University underwent deep anterior lamellar keratoplasty. When performing big-bubble deep anterior lamellar keratoplasty for treatment of herpetic corneal scars, we switched to the wet-peeling technique to finish the surgery if we encountered a type-2 big bubble or small bubbles. Results: Deep anterior lamellar keratoplasty was successfully performed on all 59 eyes with no occurrence of a microperforation. The occurrence rate of type-2 big bubbles was 71%.Conclusions: Type-2 big bubbles occurred in a high proportion of HSK patients. Converting to the wet-peeling technique for type-2 big bubbles or small bubbles, maintained the pre-Descemet's membrane and was a safe procedure.