角膜移植术

One hundred seventy-seven eyes of 161 patients consecutive who had corneal edema resulting from Fuchs endothelial dystrophy, pseudophakic bullous keratopathy, aphakic bullous keratopathy, failed graft or iridocorneal endothelial syndrome.

连续的161位患者的177只眼，都有角膜水肿。病因分别为FUCHS角膜内皮营养不良，人工晶体眼大泡性角膜病变，无晶体眼大泡性角膜病变，移植术失败和虹膜角膜内皮综合征。

Objective To understand the effects of limbal autograft transplantation on local or whole limbal deficiencies.

目的 探讨自体角膜缘移植术在局限性或全角膜缘缺陷症治疗中的作用。

Objective To explore the surgical methods and results of penetrating keratoplasty and extracapsular cataract extraction with intraocular lens implantation for corneal opacity associated with cataract.

目的 探讨角膜混浊合并白内障患者行穿透角膜移植联合白内障囊外摘出术及人工晶状体植入术的手术时机和效果。

One hundred consecutive eyes with endothelial failure were entered into a prospective study of endothelial keratoplasty, and the donor central endothelial cell density was recorded postoperatively at 6 months (n = 98), 12 months (n = 96), and 24 months (n = 85) and then compared with the preoperative eye bank measurements.

实验方法：选取角膜内皮功能失代偿的100只眼作为角膜内皮移植术的前瞻性研究对象，分别于术后6月（n = 98）、术后12月（n = 96）、术后24月（n = 85）测量供体角膜中央内皮细胞密度，并与术前所测眼库的眼角膜中央内皮细胞密度值进行比较。

Objective To observe the effectiveness of penetrating keratoprosthesis implantation in patients who failed to or were not suitable for keratoplasty.

目的 应用穿透人工角膜植入术使角膜移植失败或难以进行角膜移植的角膜白斑患者脱盲。

Methods For the cosmetic purpose of 26 cases of full-cornea leucoma without visual acuity and of the leucoma deviated from pupil with better visual acuity, the lamellar keratoplasty plus interlamellar dyeing with tattoo-eyebrow liquid was adopted. The postoperative follow-up ranged from 1 year to 4 years (2.5 years on the average).

对26例丧失视力的全角膜白斑和白斑偏离瞳孔且视力尚可的患者，为达到美容目的，采取板层角膜移植加层间染色术，用文眉液做染色剂。

RESULTS: Six of 12 cases had recurrent pterygium and symblepharon, meanwhile, 2 out of 20 cases had recurrent pterygium and symblepharon.

结果：接受翼状胬肉切除+丝裂霉素+睑球粘连分离术的12例患者中，术后6例翼状胬肉、睑球粘连复发；接受翼状胬肉切除+睑球粘连分离+角膜缘干细胞移植+羊膜移植术的20例患者中，术后2例患者翼状胬肉、睑球粘连复发。

The patients who receives pterygium resection+symblepharon dissection+limbal stem cell transplant ation+amino membrane transplantation have lower recurrent rate and less post-operative symptoms of stimulation. This surgery is an effective method in coping with recurrent pterygium with symblepharon.

接受翼状胬肉切除+睑球粘连分离+角膜缘干细胞移植+羊膜移植术术后复发率低，术后刺激症状较轻，翼状胬肉切除+睑球粘连分离+角膜缘干细胞移植+羊膜移植术是治疗复发性翼状胬肉合并睑球粘连的理想方法。

The early successful transplant operations were autografts,in which the graft is taken from one part of an individual's body to another part of his body ,as in the case of skin or cornea grafts.

早期成功的移植手术叫作自体移植术，即将移植物从人体的某一部分移植到人体的另一个部分，像皮肤移植或角膜移植那样。

Results It was revealed that corneal vascularization,large graft,previous keratifis,eccentric graft,second graft and risk factors for corneal graft rejection.Prorking factors were described as an epithelium falling,corneal disease recuring,repeating grafting and the removing of the suture.

结果 统计分析结果表明：血管化角膜、大植片移植、植床术前的活动性炎症、偏中心移植、多次移植、联合手术均应视为穿透角膜移植术后免疫排斥反应的高危因素，而移植片上皮反复脱落、旧病复发、术眼再次手术、缝线松解与拆线等可能是诱导排斥反应发生的促发因素。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。