A study of corneal transparency and related influential factors after penetrating keratoplasty

LI Hong; et al

doi:10.13406/j.cnki.cyxb.2003.06.039

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A study of corneal transparency and related influential factors after penetrating keratoplasty

更新时间：2024-01-17

- A study of corneal transparency and related influential factors after penetrating keratoplasty
- Journal of Chongqing Medical University Issue 6, Pages: 807-809(2003)
- 作者机构：
  
  1. 重庆医科大学临床学院眼科
  2. 重庆医科大学临床学院眼科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.06.039
  CLC： R779.65
- Published：2003，
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[1]李鸿,赵敏,徐智勇,杨娟,周善璧.穿透性角膜移植术后影响角膜透明性的相关因素分析[J].重庆医科大学学报,2003(06):807-809.

LI Hong, et al. A study of corneal transparency and related influential factors after penetrating keratoplasty. [J]. Journal of Chongqing Medical University (6):807-809(2003)
[1]李鸿,赵敏,徐智勇,杨娟,周善璧.穿透性角膜移植术后影响角膜透明性的相关因素分析[J].重庆医科大学学报,2003(06):807-809. DOI： 10.13406/j.cnki.cyxb.2003.06.039.

LI Hong, et al. A study of corneal transparency and related influential factors after penetrating keratoplasty. [J]. Journal of Chongqing Medical University (6):807-809(2003) DOI： 10.13406/j.cnki.cyxb.2003.06.039.

摘要

目的 :通过对穿透性角膜移植术后角膜透明状况及相关影响因素的分析

探讨其临床变化规律

以提高角膜移植手术的成功率。方法 :连续性穿透性角膜移植病例 10 4例 10 7眼

在术后 1月、3月、6月、12月、18月、2 4月、36月角膜病专科门诊随访

除常规检查外

重点检查患者角膜的透明状态、植片内皮细胞以及并发症。结果 :穿透性角膜移植术后 1月 10 7眼中82眼透明（76 .6 % ）

术后 6月 90眼中 6 9眼透明（76 .7% ）

术后 12月 81眼中 5 1眼透明（6 3% ）

术后 2 4月 4 0眼中 2 6眼透明（6 5 % ）。与此同时患者的视力亦有不同程度的增加

尤以角膜透明者视力增加明显 ;术后 1月角膜透明 82眼中有 6 7眼矫正视力 >0 .1（82 % ）

术后 3月 6 3眼中有 5 9眼矫正视力 >0 .1（94 % ）

术后 6月 6 9眼中有 6 6眼矫正视力 >0 .1（96 % ）。结论 :穿透性角膜移植术是治疗因角膜病盲患者的重要手段

排斥反应是影响角膜植片透明的主要原因。

Abstract

Objective:Through research of corneal transparency and related influential factors

the authors try to look for some clinical variety regulations after penetrating keratoplasty(PKP) in order to enhance the rate of surgery success.Methods:104 blind patients due to corneal disease (107 eyes) undergone PKP were followed up on months 1

24 and 36.Clarity of cornea

corneal endothelial cells and all kinds of complications were recorded besides regular examinations.Results:Grafts were transparent in 82 of 107 eyes on month 1(76.6%)

in 69 of 90 eyes on months 6 (76.7%)

in 51 of 81 eyes on months 12(63%)

in 26 of 40 eyes on months 12 (65%) after PKP.Corrected vision were improved especially in patients of grafts transparency.Vision of patients with transparent grafts were more than 0.1 in 67 of 82 patients(82%) on month 1

in 59 of 63 patients(94%) on months 3

in 66 of 69 patients(96%) on months 6.Conclusion:PKP is an important method to corneal disease blind patients.Rejection was the major cause affecting graft transparency.

关键词

穿透性角膜移植术角膜透明性排斥反应

Keywords

Penetrating keratoplastyCorneal transparencyrejection

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重庆医科大学临床学院器官移植研究室

重庆医科大学临床学院器官移植研究室! 400016重庆医科大学临床学院器官移植研究室

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