Avni I, Moverman D, Cahane M, Blumenthal M
Maurice and Gabriela Goldschleger Eye Institute, Sackler School of Medicine, Tel-Aviv University, Chaim-Sheba Medical Center, Tel-Hashomer, Israel.
Am J Ophthalmol. 1989 Mar 15;107(3):268-72. doi: 10.1016/0002-9394(89)90311-5.
Five patients with long-standing monocular traumatic aphakia and contact lens intolerance underwent epikeratophakia. This procedure was chosen to rehabilitate the visual function in those eyes that exhibited distorted anterior segment anatomy after trauma. Three of the patients had corneal scars associated with their old perforation wounds, and all of them had undergone an intracapsular cataract extraction soon after their original injuries. Best-corrected visual acuity was 20/50 or better in all cases before surgery. Postoperative best-corrected visual acuity improved to within two lines of the best-corrected preoperative visual acuity, after a minimum follow-up period of six months. No intraoperative complications were noted. One cornea developed late-onset partial scarring of the interface in the area of the original scar, but the process arrested spontaneously.
五名患有长期单眼外伤性无晶状体且不耐受隐形眼镜的患者接受了角膜表层镜片术。选择该手术是为了恢复那些在创伤后眼前节解剖结构扭曲的眼睛的视觉功能。其中三名患者有与陈旧性穿孔伤口相关的角膜瘢痕，并且他们所有人在最初受伤后不久都接受了囊内白内障摘除术。所有病例术前最佳矫正视力均为20/50或更好。在至少六个月的随访期后，术后最佳矫正视力提高到术前最佳矫正视力的两行以内。术中未发现并发症。一只角膜在原瘢痕区域出现了迟发性界面部分瘢痕形成，但该过程自行停止。
