表面麻醉下穿透性角膜移植术治疗角膜穿孔伤的研究 |
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引用本文: | 吴护平,谢素贞,李晓峰,康克明,何雪洪.表面麻醉下穿透性角膜移植术治疗角膜穿孔伤的研究[J].眼外伤职业眼病杂志,2009,31(12):881-883. |
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作者姓名: | 吴护平 谢素贞 李晓峰 康克明 何雪洪 |
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作者单位: | 厦门大学附属厦门眼科中心,福建,厦门,361001 |
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摘 要: | 目的探讨表面麻醉下行穿透性角膜移植手术(PKP)治疗角膜穿孔伤的可行性。方法回顾性分析10例(10眼)在表面麻醉下行PKP治疗角膜穿孔伤的临床资料。结果所有患者均能耐受和配合手术,8例术后视力均得到不同程度的提高。术后植片透明7例,透明率为70.00%,其中1例甘油冷冻保存的角膜术后植片浑浊,1例因排斥反应导致植片浑浊,另1例因继发性青光眼后角膜失代偿导致植片浑浊。结论表面麻醉下行PKP是治疗角膜穿孔伤的一种安全有效的方法。
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关 键 词: | 角膜移植术 表面麻醉 角膜穿孔 |
Study of topical anesthesia for penatrating keratoplasty in corneal perforation |
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Institution: | WU Hu-ping, XIE Su-zheng , LI Xiao-feng , et al.( Xiamen Eye Centre ,Xiemen , Fujian 361001, China) |
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Abstract: | Objective To evaluate the use of topical anesthesia for penetrating keratoplasty (PKP) in patients of corneal perforation. Methods This is a retrospective analysis of consecutive case series consisting of 10 eyes in 10 patients of corneal perforation who had PKP with topical anesthesia between July 200:5 and December 2007. Results All of the 10 patients tolerated the procedures well and the operation were performed successfully. 8 patients had better postoperative visual acuity. 7 of the 10 grafts re-mained clear. The corneal graft cryopreserved with glycerine became opacity. 1 of the graft was opacity because of immunological rejection. 1 of the graft became opacity because of bullous corneal edema due to secondary glaucoma. Conclusion PKP with topical anesthesia is a safe! and effective method for patients with corneal perforation. |
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Keywords: | penetrating keratoplasty topical anesthesia corneal perforation |
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