Clinical Analysis Of Penetrating Keratoplasty Performed For Stromal Corneal Dystrophy

The cornea dystrophy is a seldom seen hereditary cornea disease, among them the stromal corneal dystrophy is frequently, get for an eye symmetry disease, pathological changes is much taken place in a central cornea, not the companion inflamm -ation,also have no freshman blood vessel. the Japanese Scholar report the stromal corneal dystrophy occupies many 70%. Between 1988 and 2000, this Article include the sufferer 17 cases 27 eyes of the stromal corneal dystrophy, all penetrating keratoplasty in this treatment . 17 sufferers inside male 8 example, female 9 example. 10 examples , both eye. 17example, Single eye.Age 15～60 years old, average 41.1 years old 5～40 years in history in disease, average 16.9 years. In 17 sufferers,10 examples :grain form granular corneal dystrophy;3examples :macular corneal dystrophy;4 examples :lattice corneal dystrophy. The disease distance is the most short 5 years, most 35 years in elder. 17 sufferers t: 2 examples,inside are the sister and brother,2 examples contain same disease household history, occupying 21.3%. With visit time as from 6 months to 24 months, average 15 months. The the sight is feels to by light -0.08, among them the light feels 2 eye, finger number/30mm ,8 eye;0.02-0.05 ,12 eye;0.05-0.08,5 eye. The donor cornea all for die abruptly the prime of life of younger provides the corpse eye, a wet building transplants to suffer after keeping 5-12 hours . The surgical operation all under the surgical operation microscope . graft / recipient cornea diameter : 6.1/6.0 mm . 2 examples (2 eye); 7.2/7.0mm 14 example (22 eye);7.5/7.2mm,1 example (2 eye);8.5/8.0 mm,1 example.(1 eye). 10/0 nylon line difference in 12:00,6:00,8:00,4:00,10:00,2:00 place interrupteds the knot stanza sews up to plant slice in plant the bed, rises in 2:00 the consecution sews up to create a week of cornea edge. Wound to match to attain the close appearance.Among them an eye provides together at the same time the cornea transplants 6 examples (12eyes), two eye successively cornea transplants 4 examples (8 eyes),7 examples : single cornea transplant.( right eye 6 eyes, left eye 1 eye) The surgical operation finishes, the conjunctiva inject to gentamycin fills with, the bandage adds to press to tie up the eye roughly about a week. the normal regulations vein fills Dexamethasone 10mg and antibioticses, an antibiotics and hormone eye liquid. Start adding using ( Cs A) eye liquid after 2 weeks. General 6-12 months tore down the part penetrating keratoplasty continuous seam But tore down the suture to all still...