最近2年間の宮田眼科病院における全層角膜移植術の成績

Outcome of penetrating keratoplasty at Miyata Eye Hospital in the past two years

要約　過去2年間に宮田眼科病院で行われた全層角膜移植術の成績を検索した。総数は113例120眼であり，原因疾患は，角膜白斑57眼，水疱性角膜症51眼，円錐角膜6眼，角膜穿孔4眼，角膜変性2眼であった。術式は，全層角膜移植術単独が41眼で，これに水晶体囊外摘出術と眼内レンズ挿入術の併用が70眼，その他であった。術後合併症として，眼圧上昇17眼，移植片拒絶7眼，抜糸後の創口離開2眼があった。術後6か月以上観察できた113眼のうち，視力が0.1未満が11眼，0.1以上で0.4未満が42眼，0.4以上が60眼であった。最終診察時に111眼（92.5％）が透明治癒していた。

Abstract.　We reviewed the outcome of penetrating keratoplasty performed during 24 months through June 2000. The series comprised 120 eyes of 113 patients. Keratoplasty was performed for corneal leucoma 57 eyes,bullous keratopathy 51 eyes,keratoconus 6 eyes,corneal perforation 4 eyes,and corneal degeneration 2 eyes. Penetrating keratoplasty alone was performed on 41 eyes. Additional extracapsular lens extraction with intraocular lens implantion was performed on 70 eyes. Postoperative complications included elevated intraocular pressure 17 eyes,graft rejection 7 eyes,and opening of surgical wound following suture removal 2 eyes. A total of 113 eyes could be followed up for 6 months or longer. The visual acuity was less than 0.1 in 11 eyes,between 0.1 and 0.4 in 42 eyes,and over 0.4 in 60 eyes. At the last follow-up,the graft was transparent in 111 eyes（92.5％）.