[人工晶状体植入术后大泡性角膜病变的穿透性角膜移植术]
[The penetrating keratoplasty for the pseudophakic bullous keratopathy].
作者信息
Chen L, Xie Y
机构信息
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
出版信息
Yan Ke Xue Bao. 1998 Dec;14(4):227-8.
PURPOSE
To investigate the clinical effectiveness of penetrating keratoplasty for pseudophakic bullous keratopathy and the indication for keeping or removing intraocular lens.
METHODS
13 cases(13 eyes) of pseudophakic bullous keratopathy were treated by penetrating keratoplasty.
RESULTS
The intraocular lens were kept in 11 eyes and were removed in 2 eyes during operation, The average follow-up time was 16 months. All corneal grafts remain transparent, Visual acuity of most cases were improved, The best-corrected visual acuity of 5 eyes was 0.2 or better.
CONCLUSION
The penetrating keratoplasty is an effective treatment for the pseudophakic bullous keratopathy. It should be kept if intraocular lens is in normal position and located in lens capsule, and it is helpful for safety of the surgery and improvement of visual acuity.
目的
探讨穿透性角膜移植术治疗人工晶状体眼大泡性角膜病变的临床疗效及人工晶状体保留或取出的指征。
方法
对13例（13眼）人工晶状体眼大泡性角膜病变患者行穿透性角膜移植术。
结果
术中11眼保留人工晶状体，2眼取出人工晶状体，平均随访时间16个月。所有角膜植片保持透明，多数病例视力提高，5眼最佳矫正视力达0.2或更好。
结论
穿透性角膜移植术是治疗人工晶状体眼大泡性角膜病变的有效方法。人工晶状体位置正常且位于晶状体囊袋内时应予以保留，这有助于手术安全及视力提高。
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