2003 年至 2019 年阿瓦士伊玛目霍梅尼医院眼科病房转诊患者角膜移植手术和原因评估

F. Ostadian, Mahmoud Reza Panahi Bazzaz, Vahid Shahsavari, M. S. Mirdehghan
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摘要

简介角膜移植是最常见的眼科手术之一,也是世界上最常见、最成功的组织移植手术。本研究旨在确定 2003 年至 2018 年期间转诊至阿瓦士伊玛目霍梅尼医院眼科病房的患者角膜移植的原因和类型的频率。方法:本描述性研究针对接受角膜移植手术的患者记录进行。信息包括年龄、性别、移植原因、供体的性别和年龄、再次移植的需求、再次移植的原因、角膜侧位和手术类型。结果接受角膜移植的患者平均年龄为 50.93 岁,其中男性 491 人(占 49.3%),女性 505 人(占 50.7%)。51.7%的角膜移植手术与右眼有关,47.9%的角膜移植手术与左眼有关。PBK是导致角膜移植手术最多的原因。大多数患者都是先进行PK角膜移植手术,然后再进行DSAEK角膜移植手术。结论与之前的其他研究相比,本研究中PBK的发生率有所上升,这可能是由于超声乳化手术的比例显著增加所致。DSEAK和DMEAK已成为角膜内皮疾病患者较为接受和青睐的手术方式。基于新的手术技术和术后管理的进步,我们建议进行新的荟萃分析研究,以评估相关疾病、比较不同手术技术的再植率和术后管理。
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Evaluation of operations and causes of corneal transplantation in patients referred to the ophthalmology ward of Imam Khomeini Hospital in Ahvaz 2003 to 2019
Introduction: Corneal transplantation is one of the most common eye surgeries and the most common and successful tissue transplant in the world. The aim of this study was to determine the frequency of causes and types of corneal transplantation in patients referred to the ophthalmology ward of Imam Khomeini Hospital in Ahvaz from 2003 to 2018. Methods: This descriptive study was performed on the records of the patients who underwent corneal transplantation. The information included age, sex, cause of transplantation, sex and age of the donor, need for re-transplantation, reason for re-transplantation, laterality of cornea and the type of operation. Results: The mean age of patients receiving cornea was 50.93 years and included 491 (49.3%) male and 505 (50.7%) female. 51.7% of corneal transplant operations were related to the right eye and 47.9% of the operations were related to the left eye respectively. PBK was the most cause of corneal transplantation. Most patients underwent corneal transplantation by PK and then DSAEK. Conclusion: Frequency of PBK was increased in this study as compare to other previous studies which may be due to significant increase in the rate of phacoemulsification surgeries. DSEAK and DMEAK have become more accepted and favorable surgeries in the case of corneal endothelial disease. Based on new surgical techniques and advances in post of management we suggest, new meta-analysis study to evaluate associated diseases , comparison of the regraft rate in different surgical techniques and post op management of them.
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