穿透性角膜移植患者的视网膜脱离

Retinal detachment in penetrating keratoplasty patients.

作者信息

Sternberg P, Meredith T A, Stewart M A, Kaplan H J

机构信息

Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322.

出版信息

Am J Ophthalmol. 1990 Feb 15;109(2):148-52. doi: 10.1016/s0002-9394(14)75979-3.

DOI:10.1016/s0002-9394(14)75979-3

PMID:2301525

Abstract

We reviewed the records of 23 patients who had retinal detachment after penetrating keratoplasty. Seventeen retinas (74%) were reattached successfully. Of the six failures, four patients had hemorrhagic choroidal detachment at the time of keratoplasty. When these complex retinal detachments are subtracted, 17 of 19 patients (89%) had successful retinal reattachments. Of the 17 successes, only seven patients had visual acuity of 20/200 or better. Retinal detachments after penetrating keratoplasty can be repaired with a high rate of success, but visual results remain disappointing.

摘要

我们回顾了23例穿透性角膜移植术后发生视网膜脱离患者的病历。17例视网膜（74%）成功复位。在6例失败病例中，4例患者在角膜移植时发生了出血性脉络膜脱离。排除这些复杂的视网膜脱离病例后，19例患者中有17例（89%）视网膜成功复位。在17例成功复位的病例中，只有7例患者视力达到20/200或更好。穿透性角膜移植术后的视网膜脱离可以得到较高成功率的修复，但视觉效果仍然令人失望。