全層角膜移植手術適應症之變遷

The Changing Indications for Penetrating Keratoplasty 1981 through 1988

陳昌文(Chang-Wen Chen) ； 潘志勤(Chih-Chin Pan) ； 劉榮宏(Jorn-Hon Liu)

《中華民國眼科醫學會會刊》 28卷2期 (1989/05) Pp. 565-572

https://doi.org/10.30048/ACTASOS.198905.0104

摘要

本文以回溯性收集定期在角膜門診複診之已接受過角膜移植或已登記角膜移植之病患共436例。依其接受角膜移植手術之病因加以分析。發現以偽晶體角膜水腫症佔最多數(15.6%)，其次為外傷性角膜病變(15.1%)和無晶體性角膜水腫(13.8%)。若將年份分開統計則可看出在民國75年以前的病例以外傷和感染性角膜炎佔多數(29%)，但自民國75年以後就以白內障手術引起之角膜病變佔多數(41.1%)。由此可知角膜移植手術之適應症隨著時代背景一直在改變。目前白內障手術雖十分盛行，但需謹慎小心進行，以避免併發症之發生。

並列摘要

We performed a retrospective analysis of the clinical diagnosis of 436 cases which were registered for penetrating keratoplasty or had received penetrating keratoplasty and regularly followed up at Corneal Clinic during eight-year peroid, 1981 through 1988. The three leading indications were pseudophakic bullous keratopathy (15.6%), traumatic keratopathy (15.1%), and aphakic bullous keratopathy (13.8%). During the period between 1981 and 1985, the leading indications for penetrating keratoplasty were traumatic keratopathy and infectious keratopathy (29%), but within recent years (after 1985) these pseudophakic and aphakic bullous keratopathy (41.1%) were become the major indications.
Althought, there were multiple factors influencing the indications for penetrating keratoplasty, but the draumatic increase in the incidence of corneal problems after cataract surgery during recent years reflected the potential risks of cataract surgery itself.

並列關鍵字

Penetrating Keratoplasty ； Indication ； Aphakic bullous Keratopathy Pseudophakic bullous keratopathy