发展中国家的角膜移植:富人社会向穷人社会进行技术转移中的相关问题

作     者：Silva J. V. Júlio de Faria e Sousa S. Ferrante A. M. 杨秀梅(译) 

作者机构：FrancCois Teles de Meneses 188 Fortaleza Ceará 60415-1010 Brazil 不详 

出 版 物：《世界核心医学期刊文摘（眼科学分册）》 (Digest of the World Core Medical Journals:Ophthalmology)

年 卷 期：2006年第2卷第9期

页      面：56-56页

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：穿透角膜移植术 发展中国家 技术转移 大疱性角膜病变 社会 前瞻性队列研究 术后随访 大学附属医院 

摘      要：Purpose:To evaluate the results of penetrating corneal transplantation at a university hospital in ***:A prospective cohort study was conducted on 146 patients who underwent penetrating keratoplasty at the University Hospital,Faculty of Medicine of Ribeir o Preto,University of S o Paulo,*** participants were followed postoperatively for 36 months or until graft ***:In this period,49% of the grafts lost *** the corneal diseases analysed were present in about the same proportions,except for keratoconus and bullous keratopathy,which showed 3% and 73% rates of graft oedema,*** 8% of the failures could be attributed to *** variables such as age,multiple surgeries and previous eye conditions could not explain the high rate of graft ***-adherence to postoperative care increased with age,with a significant association between this behaviour and the rate of graft failure in the older age *** seems to be much less demanding and bullous keratopathy seems to be more exigent in terms of corneal trans plantation than other corneal ***:Although it involves an apparently simple surgical procedure,corneal transplantation is a demanding enterprise that can lead to very poor results under unfavourable conditions.