兽医眼科保存供体角膜的穿透性角膜移植术

B. Usha, S. Kontsevaya, V. Lutsay, I. M. Nityaga, Uliyana E. Lukashina
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引用次数: 0

摘要

本文介绍了使用硅胶脱水供体角膜再水化技术进行穿透性角膜移植术,以及可能出现的并发症。适应症包括角膜溃疡、吐丝痛、角膜隔离和角膜穿孔。在43例角膜移植中,37例(88.37%)在完全切除异常组织的手术中有良好的结果。在5例(11.63%)的病例中,作者面临着缝合失败、前粘连形成、缝线取出后上皮化不完全、移植肿胀在保留眼睛光学功能的情况下逆转等并发症,以及术后晚期继发性青光眼,最终导致眼球内假体移植。由于所提出的方法有很高的效率,在猫和狗经历医疗紧急情况时,可以推荐使用水合移植物的穿透性角膜移植术进行治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Penetrating Keratoplasty with a Preserved Donor Cornea in Veterinary Ophthalmology
The present article describes the penetrating keratoplasty using the technique of rehydration of donor cornea dehydrated over silica gel, as well as complications that can arise. The indications included corneal ulcers, descemetocoele, corneal sequestrum and corneal perforation. 37 (88.37%) out of 43 corneal transplants had a favorable outcome in surgeries with complete excision of abnormal tissues. In 5 cases (11.63%), the authors faced such complications as suture failure, formation of anterior synechias, incomplete epithelization after the suture removal, and transplant swelling reversed with the preservation of eye optical functions, and secondary glaucoma in the late postoperative period that ended up in eyeball endoprosthesis transplantation. Due to a high rate of efficiency of the proposed method, penetrating keratoplasty with rehydrated grafts can be recommended for the treatment in case of medical emergency experienced by cats and dogs.
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