重视角膜移植术后免疫排斥反应的防治

角膜移植术是角膜病盲人复明的最主要手段,但术后的免疫排斥反应仍是手术失败的最主要原因.随着我国医疗水平的不断提高,开展角膜移植手术的医院也不断增加.而如何减少术后的并发症和提高植片的长期透明率,是摆在众多从事角膜移植医师面前的一个重要问题.保持角膜移植术后植片长期透明的核心问题是重视术后随诊和免疫排斥反应的防治.本文主要从我国角膜移植的现状、存在的问题及如何减少免疫排斥反应的措施三个主要方面进行分析,并对目前角膜移植术后存在的一些普遍问题提出相应的处理措施和建议,以达到减少角膜移植术后由免疫排斥反应导致植片混浊的再次致盲问题.

Emphasizing the prevention and treatment of immune rejection after corneal transplantation

Corneal transplantation is a major therapeutic method to recover the sight from corneal blindness, however, the immune rejection is still the major impact factor for graft failure. With the improvement of the medical care in our country, corneal transplantation has been increased continually. Therefore, reducing the complications and increasing the long-term tranparency rate of the graft is an important mission for ophthalmologists, The key core of the corneal transplantation is to pay more attention to the follow-up and prevent the immune rejecton, Three respects, including the current status and problems of corneal transplantation in China, the update immune refection theory and the means of reducing the immunce refecton of the corneal graft, and the methods to reduce the risk of blindness due to immunce rejection, will be focused in this paper.