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[选择性角膜整形的现代技术和特征]

Yu N Yusef^1,2, G A Osipyan¹, N V Fisenko¹

¹Krasnov Research Institute of Eye Diseases, Moscow, Russia.

Vestnik oftalmologii

|May 13, 2024

概括

选择性角膜整形为角膜疾病提供了透性角膜整形的更安全的替代方案. 这些先进的技术,包括DALK,DMEK和DSAEK,显示出更低的排斥率和更快的恢复.

科学领域:

眼科医生眼科眼科
角膜外科手术角膜外科手术
移植移植移植移植

背景情况:

选择性角膜整形以捐赠组织取代患病的角膜层.
深前层层叶片角膜整形术 (DALK) 解决了中间/后层叶片膜的问题.
内皮皮质角膜整形术 (DMEK,DSAEK) 治疗来自内皮功能障碍的角膜胀.

研究的目的:

审查选择性角质塑性技术.
将结果与透性角质塑造 (PK) 进行比较.
突出状角质整形的好处和并发症.

主要方法:

对深前层叶片角膜整形术 (DALK) 的审查.
关于Descemet膜内皮质角质整形 (DMEK) 的审查.
对Descemet剥离内皮皮质角质整形 (DSAEK) 的审查.

主要成果:

选择性角膜整形比PK更低的眼内损伤风险和更快的康复速度.
并发症包括错误的腔室,眼睛高血压和移植失败.
与PK相比,免疫排斥发生率较低.

结论:

选择性角膜整形技术 (DALK,DMEK,DSAEK) 与PK相比具有优势.
仔细的患者选择和技术对于成功至关重要.
监测诸如移植失败和高血压等并发症至关重要.

关键词:

在Descemet的膜中.深层前层层状角膜整形.体内皮层的角质塑性.表面上皮质缺陷表面上皮质缺陷免疫植入物排斥免疫植入物排斥穿透式角膜整形术 (PK) 是一种穿透式角膜整形.

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