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| 穿透人工角膜植入术的初步临床观察 | |
| 引用本文： | 徐锦堂,Yakimenko SA,侯光辉,孙秉基,郑阿宁,赵松滨. 穿透人工角膜植入术的初步临床观察[J]. 眼科研究, 2003, 21(5): 505-507 |
| 作者姓名： | 徐锦堂 Yakimenko SA 侯光辉 孙秉基 郑阿宁 赵松滨 |
| 作者单位： | 1. 510630,广州,暨南大学医学院第一附属医院眼科 2. 乌克兰Filatov眼科研究所 3. 珠海市人民医院 4. 河南省眼科研究所 |
| 基金项目： | 广东省自然科学基金(990469)，广东省重大项目科研基金(A302020102) |
| 摘 要： | 目的 应用穿透人工角膜植入术使角膜移植失败或难以进行角膜移植的角膜白斑患者脱盲。方法 应用Yakimenko型人工角膜对4例化学烧伤后角膜白斑和1例爆炸伤后的角膜白斑进行了穿透人工角膜植入术。术前3例光定位准确，2例光定位不准确。结果 术后1眼视力无变化。4眼视力有不同程度的提高(0．09～0．6)、其中最好的1例术后裸眼视力为0．6，矫正视力为0．8，观察时间9个月～3年。结论 应用耳软骨加固人工角膜植床是一个行之有效的方法，对不能行角膜移植和角膜移植失败但尚存光感的角膜白斑患者，穿透人工角膜植入术是目前首选的复明手术。 |
| 关 键 词： | 穿透人工角膜植入术 角膜移植 角膜白斑 第一期手术 第二期手术 |
| 修稿时间： | 2002-10-16 |
Primary clinical study on penetrating keratoprosthesis implantation |
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| Yakimenko SA. Primary clinical study on penetrating keratoprosthesis implantation[J]. Chinese Ophthalmic Research, 2003, 21(5): 505-507 | |
| Authors: | Yakimenko SA |
| Abstract: | Objective To observe the effectiveness of penetrating keratoprosthesis implantation in patients who failed to or were not suitable for keratoplasty. Methods Five patients with leucoma induced by chemical burn and blast received Yakimenko keratoprothesis implantation. Results Postoperative vision elevated (0.09-0.6) in 4 of 5 patients during 9 months to 3 years after surgery. The best naked-eye vision among these patients was 0. 6,and corrected vision was 0. 8. The vision in 1 case remained unchanged. Conclusion The results suggest that keratoprosthesis reinforced recipient bed with ear cartilage is an effective method. Keratoprosthesis implantation is probably the best therapeutic choice for those patients who failed to keratoplasty or are not suitable for keratoplasty with light sense. |
| Keywords: | keratoprothesis ear cartilage corneal leucoma |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |