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角膜内皮对穿透性移植的成功十分重要。很多观察者发现角膜移植术后之早期,移植片都增厚,以后逐渐恢复正常,本文分析影响术后移植片厚度的因素。在34例圆锥角膜作移植术,年令自10～45岁,由同一人以相同方式手术:用7mm环钻,以20～25针10—0尼龙线作连续缝合。术后治疗常规:术后第一日起用0.01％Betamethasone每日滴眼3次;术后第3周,每日用0.1％Betamethasone滴眼3次,10周后逐渐减少激素量。连续缝线通常在8周后拆除。术后早期除局部用抗菌素滴眼外,全身用抗菌素及醋唑磺胺,不用散瞳药。
Corneal endothelium is very important for the success of penetrating transplantation. Many observers found that in the early post-keratoplasty stage, the implants were thickened and returned to normal afterwards. In this paper, the factors influencing the thickness of the postoperative implants were analyzed. In 34 cases of keratoconus for transplantation, the year from 10 to 45 years old, the same way in the same surgery: with 7mm ring drill, 20-25 needle 10-0 nylon thread for continuous suture. Postoperative treatment routine: 0.01% Betamethasone on the first day postoperatively three times a day; the third week after surgery, 0.1% Betamethasone eye drops 3 times a day, 10 weeks after gradually reduce the amount of hormones. Continuous sutures are usually removed after 8 weeks. In addition to the early postoperative topical antibiotic eye drops, the body with antibiotics and acetochlor sulfonamide, without mydriatic.