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穿透性角膜移植术后角膜上皮生长情况分析

朱玄生 高雯 史春生 乔灵飞 王磊 张慧文 姜波 石磊

临床眼科杂志2025,Vol.33Issue(5):385-389,5.
临床眼科杂志2025,Vol.33Issue(5):385-389,5.DOI:10.3969/j.issn.1006-8422.2025.05.001

穿透性角膜移植术后角膜上皮生长情况分析

Postoperative analysis of corneal epithelial regeneration following penetrating keratoplasty

朱玄生 1高雯 1史春生 1乔灵飞 1王磊 1张慧文 1姜波 1石磊1

作者信息

  • 1. 230001 合肥,安徽省第二人民医院眼科
  • 折叠

摘要

Abstract

Objective To observe the complete healing of the corneal epithelium in different patients after pen-etrating keratoplasty and to analyze the factors affecting the rate of postoperative corneal epithelial repair.Methods A ret-rospective cohort study was conducted.Clinical data of 48 patients who underwent penetrating keratoplasty at Anhui No.2 Provincial People's Hospital from December 2022 to June 2024 were collected.The growth area of the corneal epithelium was statistically analyzed daily after the operation,the pattern of corneal epithelial healing was studied,and the impact of gender,age,preoperative diagnosis with or without infection,whether the operated eye and the donor eye were of the same eye type,and the size of the graft on the rate of postoperative corneal epithelial repair was further explored.Results The complete healing time of the corneal epithelium after penetrating keratoplasty in all patients was(3.93±1.21)days,with an average repair rate of 0.55±0.17 mm²/h.The rate of corneal epithelial repair showed a characteristic of being slow first,then fast,and slow again.Age and preoperative diagnosis with infection had a significant impact on corneal epithelial re-pair.Gender,whether the operated eye and the donor eye were of the same eye type,and the size of the graft had no signifi-cant effect on corneal epithelial repair.Conclusions The growth of the corneal epithelium after penetrating keratoplasty shows dynamic changes,and age and preoperative infection are important factors affecting the rate of postoperative corneal epithelial repair.

关键词

角膜移植术/角膜上皮/修复速率/影响因素

Key words

Keratoplasty/Corneal Epithelium/Repair Rate/Influencing Factors

引用本文复制引用

朱玄生,高雯,史春生,乔灵飞,王磊,张慧文,姜波,石磊..穿透性角膜移植术后角膜上皮生长情况分析[J].临床眼科杂志,2025,33(5):385-389,5.

基金项目

2024年安徽省高校科研项目(2024AH050550) (2024AH050550)

临床眼科杂志

1006-8422

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