摘要
目的评价板层角膜移植（1amellar keratoplasty，LKP）治疗角膜皮样瘤（1imbal dermoids）的临床疗效。方法对22例（22只眼，23处病变）行板层角膜移植治疗的角膜缘皮样瘤患者进行回顾l生分析。随访3～48个月（平均19个月）。观察肿瘤治愈率，外观，植片透明度，视力变化及并发症。结果肿瘤治愈率为100％。19／22例患者（20／23处病变）术后外观明显改善，植片透明。2／22例患者（2／23处病变）外观改善一般，植片轻度浑浊。1／22例患者（1／23处病变）术后发生排斥反应，外观改善差，植片灰白色混浊并见明显新生血管长入。术后最佳矫正视力等于或好于术前。结论板层角膜移植术是治疗角膜皮样瘤的一种有效方法。早期手术，创伤小，术后反应轻。
Objective to evaluate the effect of lamellar keratoplasty for limbal dermoids.Methods 22 patients（13 female,9 male,agerange,8 months-20 years） with 23 limbal dermoids in 22 eyes who underwent lamellar keratoplasty between 1984 and 2005 were identified to assess the surgical out comea of appearance, vision,graft survival and integrity, surgical complication in patients with histoloically proven limbal dermoid choristomat.Results The cure rate is 100 percent. 19 patients has the visual acuity outcomes.After amblyopia treatment,the visual acuity of 7patients showed no improcenment 10 patients showed a little improvement,2 patients showed some improvement.Most（19 of 22）patients had good or excellent cosmetic results and clear gratt.2 cases with previously excised lesions had only moderate cosmetic results and some associated interface haze.1 cases which had peroperative vascularization around huge huge lesion had poor cosmetic result and opaque graft.Conclusion LKP is an effective therapy.Earlier operate,better outcomes.
出处
《中国实用眼科杂志》
CSCD
北大核心
2008年第3期263-265,共3页
Chinese Journal of Practical Ophthalmology
关键词
角膜移植
角膜缘
皮样瘤
Keratoplasty
Limbal dermoid
Choristomata
作者简介
通讯作者：李佳，E-mail：Lijl979@sina．com
