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目的:探讨丙种球蛋白治疗内眼术后顽固性角膜水肿的临床价值。方法:对内眼术后顽固性角膜水肿的18例18只眼均采用人丙种球蛋白治疗。结果:17例17只眼经治疗后,于裂隙灯显微镜下观察,角膜内皮及基质水肿均在3d内完全吸收,视力提高3~5行。1只眼经治疗后,症状有所改善,但病情有反复,属治疗无效。结论:丙种球蛋白治疗内眼术后角膜内皮及基质顽固性水肿有显著疗效。
Objective: To investigate the clinical value of gamma globulin in treatment of refractory corneal edema after endoscopic surgery. Methods: Eighteen patients (18 eyes) with refractory corneal edema after intraocular surgery were treated with human gamma globulin. Results: Seventeen eyes (17 eyes) were observed under slit lamp microscope. The corneal endothelium and stromal edema were completely absorbed within 3 days and visual acuity increased by 3 to 5 lines. One eye after treatment, the symptoms have improved, but the disease has repeatedly, is a treatment ineffective. CONCLUSION: Gamma-globulin has a significant therapeutic effect on intracorneal corneal endothelium and matrix refractory edema.