电邮这篇文章 
后期圆锥角膜后弹力层基质内移植
- 作者: Oganesyan O.G.1,2, Getadaryan V.R.1, Ashikova P.M.1, Makarov P.V.1, Khandzhyan A.T.1
-
隶属关系:
- Helmholtz National Medical Research Center of Eye Diseases
- A.I. Evdokimov Moscow State University of Medicine and Dentistry
- 期: 卷 13, 编号 2 (2020)
- 页面: 43-48
- 栏目: Original researches
- ##submission.dateSubmitted##: 13.02.2020
- ##submission.dateAccepted##: 07.04.2020
- ##submission.datePublished##: 24.08.2020
- URL: https://journals.eco-vector.com/ov/article/view/20425
- DOI: https://doi.org/10.17816/OV20425
- ID: 20425
如何引用文章
开放存取
##reader.subscriptionAccessGranted##
详细
目的：后期圆锥角膜患者后弹力膜（DM）基质内移植术后观察结果报告。
方法：对三名进行性圆锥角膜患者（3只眼）进行了检查。患者之前没有接受过紫外线交联或任何类型的眼科手术。所有患者均在局部麻醉下接受了DM移植入基质内。手术治疗经过12个月后进行了临床结果评估。
结果：根据我们的资料，这是有关基质内DM移植的第一份报告。文献中也没有关于进行性圆锥角膜患者使用DM移植替代Bowman层移植的数据。手术12个月后，DM移植物在角膜基质中没有褶皱，几乎看不见，而且角膜透明。未发现裸眼视力（UCVA）、隐形眼镜（CL）的最佳矫正视力（BCVA）、内皮细胞密度（ECD）、最小角膜厚度（minTP）和最大角膜曲率指数（Kmax）的显著变化。术中或术后未观察到并发症。
结论：DM的基质内移植可以替代后期圆锥角膜患者Bowman层的移植，这可以避免或延缓进行PSC（穿透性角膜移植术）或DALK（深层前角膜角膜移植术）角膜移植术。
全文:
作者简介
Oganes Oganesyan
Helmholtz National Medical Research Center of Eye Diseases; A.I. Evdokimov Moscow State University of Medicine and Dentistry
Email: oftalmolog@mail.ru
PhD; Department of Ocular Trauma and Reconstructive Surgery
俄罗斯联邦, MoscowVostan Getadaryan
Helmholtz National Medical Research Center of Eye Diseases
编辑信件的主要联系方式.
Email: vostan11@gmail.com
MD
俄罗斯联邦, MoscowPatimat Ashikova
Helmholtz National Medical Research Center of Eye Diseases
Email: patiyago@mail.ru
MD
俄罗斯联邦, MoscowPavel Makarov
Helmholtz National Medical Research Center of Eye Diseases
Email: makarovpavel61@mail.ru
PhD
俄罗斯联邦, MoscowAnush Khandzhyan
Helmholtz National Medical Research Center of Eye Diseases
Email: vostan11@gmail.com
MD, Deputy Director for Commerce
俄罗斯联邦, Moscow参考
- Rabinowitz YS. Keratoconus. Surv Ophthalmol. 1998;42(4): 297-319. https://doi.org/10.1016/s0039-6257(97)00119-7.
- Barnett M, Mannis MJ. Contact lenses in the management of keratoconus. Cornea. 2011;30(12):1510-1516. https://doi.org/10.1097/ICO.0b013e318211401f.
- Colin J, Cochener B, Savary G, et al. Correcting keratoconus with intracorneal rings. J Cataract Refract Surg. 2000;26(8):1117-1122. https://doi.org/10.1016/s0886-3350(00)00451-x.
- Wollensak G, Spoerl E, Seiler T. Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus. Am J Ophthalmol. 2003;135(5):620-627. https://doi.org/10.1016/s0002-9394(02)02220-1.
- Van Dijk K, Parker J, Tong CM, et al. Midstromal isolated Bowman layer graft for reduction of advanced keratoconus: a technique to postpone penetrating or deep anterior lamellar keratoplasty. JAMA Ophthalmol. 2014;132(4):495-501. https://doi.org/10.1001/jamaophthalmol.2013.5841.
- Peraza NJ, Luceri S, van Dijk K, et al. Bowman layer transplantation in advanced keratoconus. Images Ophtalmologie. 2015;7: 252-256.
- Van Dijk K, Parker JS, Baydoun L, et al. Bowman layer transplantation: 5-year results. Graefes Arch Clin Exp Ophthalmol. 2018;256(6):1151-1158. https://doi.org/10.1007/s00417-018-3927-7.
- Chan E, Snibson GR, Greenstein SA, et al. Current status of corneal collagen cross-linking for keratoconus: a review. Clin Exp Optom. 2013;96(2):155-164. https://doi.org/10.1111/cxo.12020.
- Godefrooij DA, Boom K, Soeters N, et al. Predictors for treatment outcomes after corneal crosslinking for keratoconus: a validation study. Int Ophthalmol. 2017;37(2):341-348. https://doi.org/10.1007/s10792-016-0262-z.
- Shousha MA, Perez VL, Canto AP, et al. The use of Bowman’s layer vertical topographic thickness map in the diagnosis of keratoconus. Ophthalmology. 2014;121(5):988-993. https://doi.org/10.1016/j.ophtha.2013.11.034.
- Swcoggs MW, Proia AD. Histopathological variation in keratoconus. Cornea. 1992;11(6):553-559. https://doi.org/10.1097/00003226-199211000-00012.
- Kaas-Hansen M. The histopathological changes of keratoconus. Acta Ophthalmol (Copenh). 1993;71(3):411-414. https://doi.org/10.1111/j.1755-3768.1993.tb07159.x.
- Melles G, Rietveld FJ, Beekhuis WH, Binder PS. A technique to visualize corneal incision and lamellar dissection depth during surgery. Cornea. 1999;18(1):80-86.
- Dapena I, Ham L, Melles GR. Endothelial keratoplasty: DSEK/DSAEK or DMEK — the thinner the better? Curr Opin Ophthalmol. 2009;20(4):299-307. https://doi.org/10.1097/ICU. 0b013e32832b8d18.
- Li S, Liu L, Wang W, et al. Efficacy and safety of Descemet’s membrane endothelial keratoplasty versus Descemet’s stripping endothelial keratoplasty: A systematic review and meta-analysis. PLoS One. 2017; 12(12): e0182275. https://doi.org/10.1371/journal.pone.0182275.
补充文件
