目的:观察结膜瓣遮盖术治疗重症真菌性角膜溃疡的临床疗效。方法:回顾分析2009-11/2010-11收治的13例13眼真菌性角膜溃疡临床疗效,其中有外伤史10眼,原因不明者3眼。对上述患者行病灶清除,进行结膜瓣遮盖术治疗,术后继续药物治疗。结果:患者12例12眼1次手术治愈角膜溃疡。1例于术后1wk前房积脓逐渐增多,结膜瓣溶解脱落,再次手术得到控制。13眼通过结膜瓣遮盖术达到治愈角膜溃疡,保存眼球的目的。结论:对于重症真菌性角膜溃疡,结膜瓣遮盖术仍是有效的治疗方法,为进一步行角膜移植术提供条件。

AIM:To study the clinical curative effect of conjunctival flap covering surgery in treatment of serious fungus corneal ulcer.METHODS:Thirteen patients(13 eyes)with serious fungus corneal ulcer who underwent conjunctival flap covering surgery were retrospectively analyzed,including 10 cases with traumatic corneal ulcer,3 cases of unknown causes.All the patients were treated with removal of the necrotic corneal tissue combined with conjunctival flap covering surgery.RESULTS:Postoperatively,the corneal ulcer in 12 eyes was cured after one surgery.1 case cured after treated again by conjunctival flap covering surgery after the conjunctival flap desquamated.The corneal ulcer was cured and the eyeballs were saved in 13 eyes by conjunctival flap covering surgery.CONCLUSION:Conjunctival flap covering surgery is effective and practical in treatment of serious fungus corneal ulcer which is not responded to medical therapy,and it is an effective method to control the fungus inflammation and save the eyeballs,which provide the further condition for corneal transplantation.

R779.6