非冷冻角膜表面移植术治疗圆锥角膜。

J L Arné, J Vigne, A M Bourdiol, T Delpech, D Thouvenin
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引用次数: 0

摘要

圆锥角膜可能是一个困难的治疗挑战,当它变得不可能适应隐形眼镜。穿透性角膜移植术有时很难进行,结果经常因严重的散光而改变。人们尝试了其他解决方案,但结果各不相同。我们对26只不适应CL晶状体且无中心混浊的圆锥角膜行非冷冻角膜移植术,并对其中14例(缝合消融后3个月以上)进行了分析。13 .未经矫正视力增加。其中,中等散光为3次,始终规律。无重大并发症。与采用穿透性角膜移植术的等效组比较,结果相同。对于没有中心性混浊的中枢性或大KC,表面角膜移植是一种合理的选择。它是眼外的,总是可逆的。非冷冻法对移植物组织的损伤较小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Treatment of keratoconus using non-freezing epikeratoplasty].

Keratoconus may present a difficult therapeutic challenge when it becomes impossible to adapt Contact Lenses. Penetrating Keratoplasty is sometime difficult to perform and the result is often altered by important astigmatism. Other solutions have been tried with variable results. We treated 26 eyes with Keratoconus that were unadapted to CL bud didn't have central opacities, with Non Freeze Epikeratoplasty. 14 of them are analysed (more than 3 months after suture ablation). 13 increased visual acuity without correction. All of them increased best corrected VA. Medium astigmatism was 3 dioptries, always regular. No major complications were observed. The comparison with an equivalent group treated with Penetrating Keratoplasty showed that the results were equivalent. Epikeratoplasty can be a reasonable alternative in central or large KC without central opacities. It's extraocular and always reversible. The Non Freeze procedure is less aggressive for the graft tissue.

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