目的:探讨羊膜移植术治疗重症春季卡他性结膜炎的临床疗效。方法:收集在我院就诊的9例12眼春季卡他性结膜炎合并睑结膜巨乳头和角膜溃疡的患者,进行羊膜移植术,观察术后患者复发情况、术后视力、上睑结膜乳头的增生状态和角膜的修复情况。结果:复发3例5眼,但药物治疗后病情均稳定;所有患者术后随访期间视力提高,上睑结膜面基本光滑,未见明显乳头增生、角膜透明或者形成角膜薄翳。结论:羊膜移植术对于春季卡他性结膜炎合并睑结膜巨乳头患者有较好的临床疗效。

AIM:To investigate the therapeutic effect of amniotic membrance transplantation in treament of severe vernal conjunctivitis.METHODS:A total of 9 cases 12 eyes which were vernal conjunctivitis with macropapillary in palpebral conjunctiva and corneal ulcer received amniotic membrane transplantation.Their visual acuity,recurrence in upper palpebral conjunctiva and recovery of corneal ulcer were followed up.RESULTS:Totally 3 cases 5 eyes recurred and were well controlled by local treatment.Visual acuity were increased in all cases during follow-up period.The papilla had not been found in upper lid conjunctiva and cornea was transparent.CONCLUSION:Amniotic membrane transplantation is effective in treatment of severe vernal conjunctivitis with macropapillary in palpebral conjunctiva.

R779.6