BostonⅠ型人工角膜术后角膜融解综述

Research advances in corneal melting after Boston typeⅠkeratoprosthesis surgery

  • 摘要: 人工角膜是严重角膜盲患者无法进行角膜移植时的最后选择。BostonⅠ型人工角膜是世界上应用最广泛的人工角膜,适应证也在不断扩展。然而人工角膜属于复杂手术,其效果远未达到理想程度。角膜融解是威胁BostonⅠ型人工角膜安全的严重并发症。本文就BostonⅠ型人工角膜术后角膜融解的流行病学、风险因素、处理措施等进行综述。

     

    Abstract: Keratoprosthesis is the last choice for patients with severe corneal blindness in whom standard keratoplasty is destined to fail. The Boston type Ⅰ keratoprosthesis BKPro is currently the most commonly used keratoprosthesis worldwide. Although the clinical outcomes have been significantly improved in these years, BKPro is far from the desired effect due to its complexity. Corneal melting is a complication of BKPro surgery, and may lead to disastrous consequences. The research progress about the epidemiology, risk factors and management of corneal melting after BKPro surgery in recent years are reviewed.

     

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