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高危患者穿透角膜移植联合环状角膜缘移植术
引用本文:姚晓明,邓宏伟,李辰,秦磊,赵东晓,韩冰,邹玲,罗恒,樊宁. 高危患者穿透角膜移植联合环状角膜缘移植术[J]. 眼外伤职业眼病杂志, 2002, 24(5): 493-494
作者姓名:姚晓明  邓宏伟  李辰  秦磊  赵东晓  韩冰  邹玲  罗恒  樊宁
作者单位:518001,暨南大学医学院深圳眼科中心
摘    要:目的 评价高危患者行穿透性联合环状角膜缘角膜移植术的远期效果。方法 18例高危患者行穿透性联合环状角膜缘角膜移植术,术后随访10-31月,平均19.56月。观察术后视力变化及术后不同阶段的排斥反应发生率。结果 术后视力有不同程度的提高,排斥例数术后3月内3例(16.67%),术后6月4例(22.22%),术后12月6例(33.33%),术后31月8例(44.44%)。结论 对部分高危患者进行穿透角膜移植联合环状角膜缘移植可降低术后排斥率,获得稳定的眼表面。

关 键 词:高危患者 穿透角膜移植 环状角膜缘移植术 角膜缘干细胞 排斥反应

Clinical study on the effect of the penetrating keratoplasty combined with ring-shaped limbal transplantation on high-risk patients.
YAO Xiaoming,DENG Hongwei,LI Chen,et al.. Clinical study on the effect of the penetrating keratoplasty combined with ring-shaped limbal transplantation on high-risk patients.[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2002, 24(5): 493-494
Authors:YAO Xiaoming  DENG Hongwei  LI Chen  et al.
Affiliation:YAO Xiaoming,DENG Hongwei,LI Chen,et al.Shenzhen Ophthalmic Center of Ji'nan University,Shenzhen Eye Hospital,Shenzhen,Guangdong 518001,China
Abstract:Objective To evaluate the long term effect of the penetrating keratoplasty combined with ring shaped limbal transplantation (PKPLT) on high risk patients.Methods Eighteen hihg risk eyes(18 patients) were evaluated by vision,rejection and total rejection rate after PKPLT.The mean following up was 19.56 months(10 to 31 months).Results The post operative visual acuity was improved in different level.The number of rejection 3,6,12 and 31 months postoperativily was 3 (16.67%) ,4(5.56%),6(22.22%) and 8(44.44%) respectively.Conclusions PKPLT is an efective surgery in reducing graft rejection as well as obtaining a stable ocular surface in high risk patients.
Keywords:Keratoplasty High risk Limbal stem cell Allograft rejection
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