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本文报导了40例高原地区角膜移植术发生免疫反应的情况。40例中部分穿透性角膜移植25例,板层角膜移植15例。我们把术后角膜水肿;较多的新生血管向植片生长;植片上皮有小水泡或线状混浊;移植片有后膜形成等认为是兔疫反应的表现。25例穿透性角膜移植中19例(76%)出现免疫反应。板层角膜移植的15例中,6例出现兔疫反应。穿透性角膜移植的透明愈合为18例(72%),半透明愈合5例(20%),角膜混浊2例(8%)。板层角膜移植透明愈合9例(60%)。
This article reports the 40 cases of high altitude keratoplasty occurred immune response. In the 40 cases, 25 cases were partially penetrating keratoplasty and 15 cases were lamellar keratoplasty. We put the corneal edema after surgery; more neovascularization to the growth of grafts; small blisters or linear opacities in the epithelium of the grafts; posterior membrane formation of the graft is considered to be the manifestation of the rabies response. Nineteen (76%) of 25 patients with penetrating keratoplasty developed an immune response. Among the 15 cases of lamellar keratoplasty, 6 cases appeared the rabies reaction. Transparent healing of penetrating keratoplasty was 18 (72%), translucent healing was 5 (20%) and corneal opacity was 2 (8%). Transparent healed corneal graft in 9 cases (60%).