眼科 ›› 2013, Vol. 22 ›› Issue (3): 145-146.

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穿透性角膜移植术后免疫抑制剂的合理应用

接英 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
  • 收稿日期:2013-05-03 出版日期:2013-05-25 发布日期:2013-05-30
  • 通讯作者: 潘志强,Email:panyj0526@sina.com E-mail:panyj0526@sina.com

Application of immunosuppressant on the postoperative management of corneal penetrating keratoplasty

JIE Ying, PAN Zhi-qiang   

  1. eijing Ophthalmology and Visual Science Key Laboratory, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2013-05-03 Online:2013-05-25 Published:2013-05-30
  • Contact: PAN Zhi-qiang, Email: panyj0526@sina.com E-mail:panyj0526@sina.com

摘要: 角膜移植术后的免疫排斥反应是导致手术失败的主要原因之一,尤其在高危植床,排斥率可高达50%以上。糖皮质激素一直是目前防治免疫排斥反应的一线药物,局部应用是主要的用药途径,但长期应用需注意其眼部副作用;环孢霉素A滴眼液与糖皮质激素联合应用,可更好地预防免疫排斥反应发生,减少激素的副作用。他克莫司(FK506)局部应用也有良好效果。

关键词: 角膜移植, 免疫排斥, 免疫抑制剂

Abstract:  Immune rejection after corneal penetrating keratoplasty is still one of the main reasons leading failure of the surgery, especially in high-risk cases, in whom the rejection ratio can be as high as 50%. Glucocorticoid is still the first-line drug for the prevention and treatment of corneal graft rejection, and topical application of which is the main way of administration, but long-term using of which should be paid more attention to avoiding the side effects. Cyclosporin A (CsA) eye drops in combination with glucocorticoid can be better to prevent immune rejection episodes and reduce the side effects of steroid. Topical tacrolimus application also showes a good result.

Key words: corneal transplantation, immune rejection, immunosuppressant