摘要
目的探讨眼球前段重建术（ａｎｔｅｒｉｏｒｓｅｇｍｅｎｔｒｅｃｏｎｓｔｒｕｃｔｉｏｎ，ＡＳＲ）的术式和技巧并对其远期疗效进行评价。方法Ａ术式和Ｂ术式是以全角膜带环形巩膜板层瓣或亚全穿透角膜移植为主的多联手术（包括虹膜切除、晶体摘除、前段玻璃体切割及恢复眼球体积等），术后随访３ａ以上。结果眼球保全率为８５．２９％，植片透明或半透明率为３５．２９％，脱盲率为３０．８８％。移植片混浊的病例中，９例再次移植，６例植片透明或半透明。结论远期疗效结果表明ＡＳＲ对于挽救眼前段严重受毁的眼球及视功能具有很高治疗价值。不同病情和时机，可选择不同的术式进行治疗。
ObjectiveThe surgical mode and technique in anterior segment reconstruction(ASR) was assessed,and the longterm therapeutic effect of ASR was also appraised.MethodsThe surgical modes were divided into two groups(including mode A and B).Penetrating keratoplasty and scleroplasty can be attempted in mode A,while penetrating keratoplasty can be attempted in mode B.Both mode A and B were in combination with other procedures(i.e., iridectomy,lentectomy,anterior vitrectomy and the recovery of the eyeball shape).The followup is 3 or more than 3 a after operation.ResultsThe results showed that the rate of the eyeball survival was 85.29%,the rate of transparent or semitransparent grafts was 35.29%,and the rate of prevented blidness was 30.88%,9 of 68 cases with opacified grafts had a second keratoplasty,and 6 of 9 grafts became transparent or semitransparent.The main complication was immune rejection and secondary glaucoma.ConclusionASR has a high therapeutic effect for severe anterior segment destruction resulting in visual acuity improvement.It is important to select a suitable surgical mode according to the clinical appearance and length of the disease.
出处
《眼科研究》
CSCD
1997年第4期246-248,共3页
Chinese Ophthalmic Research
