眼科
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李绍伟
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LI Shao-wei
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摘要: 穿透性角膜移植已经不是角膜手术的唯一标准和手段,成分移植的理念带来了手术方式的新突破,由此涌现出的深板层移植、内皮移植等显著降低了术后的排斥反应等并发症,提高了视觉质量和供体角膜的利用度。飞秒激光的应用将角膜移植手术带入了屈光手术时代。角膜胶原交联技术的出现,丰富了医生的治疗手段,使圆锥角膜等角膜疾病大幅度摆脱了对角膜移植手术的依赖。这一系列进步使角膜移植手术进入了精准医疗的范畴。
关键词: 角膜, 内皮移植, 深板层移植, 飞秒激光, 胶原交联
Abstract:
Penetrating keratoplasty (PKP) is no longer the only standard and means of corneal surgery. The concept of corneal component keratoplasty has led to new breakthroughs in surgical procedures. The emerging of deep lamellar keratoplasty, endothelial keratoplasty (EK) and other operations significantly reduces postoperative complications such as immunologic rejection and also improve the visual quality and donor corneal utilization. Femtosecond laser assisted keratoplasty bring the corneal transplantation surgery into the era of refractive surgery. Corneal collagen cross linking (CXL) has enriched the doctor's surgical procedure, relieving the dependence of keratoplasty for the patients with corneal diseases such as keratoconus. Keratoplasy is brought into the scope of precision medicine by those advances.
Key words: cornea, endothelial keratoplasty, deep lamellar keratoplasty, femtosecond laser, collagen cross linking
李绍伟. 迎接角膜移植手术发展的新阶段[J]. 眼科, doi: 10.13281/j.cnki.issn.1004-4469.2017.03.001.
LI Shao-wei. Embrace the new era of corneal transplantation[J]. Ophthalmology in China, doi: 10.13281/j.cnki.issn.1004-4469.2017.03.001.
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链接本文: http://www.j-bio.net/yk/CN/10.13281/j.cnki.issn.1004-4469.2017.03.001
http://www.j-bio.net/yk/CN/Y2017/V26/I3/145