眼科 ›› 2013, Vol. 22 ›› Issue (2): 98-100.

• 论著 • 上一篇    下一篇


不同种族角膜植片对穿透性角膜移植术效果的影响

 张樱楠, 闫超, 王立, 刘静,  潘志强   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室 北京同仁眼库
  • 收稿日期:2012-03-26 出版日期:2013-03-25 发布日期:2013-03-26
  • 通讯作者: 潘志强,Email:panyj0526@sina.com

Clinical evaluation of penetrating keratoplasty with different race donor corneas

 ZHANG  Ying-Nan, YAN  Chao, WANG  Li, LIU  Jing,   Pan-Zhi-Qiang   

  1. Beijing Tongren Eye Bank, Beijing Ophthalmology and Visual Science Key Lab, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2012-03-26 Online:2013-03-25 Published:2013-03-26
  • Contact: PAN Zhi-qiang, Email: panyj0526@sina.com

摘要: 目的 通过观察不同种族间穿透性角膜移植手术的效果,总结不同种族之间穿透性角膜移植的可行性。设计 回顾性病例系列。研究对象 北京同仁眼科中心2002年10月至2003年3月因角膜白斑、角膜内皮失代偿、角膜移植术后植片失败等接受穿透性角膜移植术患者10例(10眼)。方法 采用国际组织库提供的中期保存角膜植片进行穿透性角膜移植术,其中高加索人种角膜8片,西班牙人种1片,非洲人种1片。术前收集患者资料,术后进行随访和临床观察,评价角膜植片的存活情况以及疗效。主要指标 视力,角膜植片透明度,角膜新生血管分级。结果 10例患者平均随访(12.6±3.86)个月,4例患者角膜植片基本保持透明,视力平均提高1~2行。6例(60%)患者出现植片混浊、植片水肿、新生血管长入等排斥反应,视力不提高。结论 本文小样本观察显示不同种族角膜供体可以用于穿透性角膜移植治疗。(眼科, 2013, 22:98-100)

关键词: 角膜移植, 种族, 植片存活

Abstract:  Objective To evaluate the clinical effect of penetrating keratoplasty (PKP) performed with internationally acquired corneas from donors of a different race. Design Retrospective case series. Participants 10 eyes from 10 patients with corneal leucoma, corneal endothelial dysfunction or corneal graft failure that underwent PKP in Beijing Tongren Eye Center, Beijing Tongren Hospital between October 2002 to March 2003 (10 corneas from Caucasians: 8 eyes,Hispanic:1 eye,African-American:1 eye). Method All cases underwent PKP with corneas from donors of a different race from the Tissue Bank International (TBI), and for whom a mean of 12.6±3.86 months of follow-up was available. Main Outcome Measure Visual acuity, corneal transparency, stromal edema and graft neovascularization. Results Among the 10 eyes that met inclusion criteria, there were 4 eyes graft survival at 1 year. The opacity, edema and neovascularization of the graft wore observed in the other 6 eyes. The overall rate of rejection was 60%. Conclusions This small sample study shows the internationally acquired corneas different race donor corneal tissue can be used for PKP. (Ophthalmol CHN, 2013, 22: 98-100)

Key words: penetrating keratoplasty; , race, graft survival