目的:观察角膜基质层间烧灼术治疗大泡性角膜病变(bullous keratopathy,BK)的疗效。方法:对20例BK患者进行观察,其中白内障摘除术及人工晶状体植入术后15例,玻璃体切除术后5例,视力0.02～0.04者9例,指数者5例,手动者3例,光感者3例,平均年龄72.5岁,均采用角膜基质层间烧灼术治疗。结果:眼部刺激症状明显消失,视力手术前后无明显差异。结论:此手术方法明显改善BK的眼部刺激症状。

AIM:To study the clinical effects of lamellar corneal cauterization in treating bullous keratopathy(BK). METHODS:Totally 20 cases with BK were analyzed, including 15 cases after cataract extraction and intraocular lens implantation,5 cases after vitreous resection,the average age was 72.5 years.Visual acuity with 0.02-0.04 were in 9 cases,counting fingers in 5 cases,light perception in 3 cases and hand motions in 3 cases.All patients were treated by lamellar corneal cauterization. RESULTS:Eye symptoms disappeared in all cases and visual acuity was not obviously different before and after operation. CONCLUSION:Treating BK by lamellar corneal cauterization can effectively alleviate the symptom and prevent recurrence.

R772.21