用于各种角膜与玻璃体视网膜联合问题的广角角膜接触镜角膜移植术：十二个月的结果
Wide-Field Landers Keratoprothesis in Various Combined Corneal and Vitreoretinal Problems: Twelve-Month Results.
作者信息
Kapran Ziya, Ozkaya Abdullah, Erdogan Gurkan, Karakucuk Yalcin, Gezginaslan Tugba Aydogan, Perente Irfan, Taskapili Muhittin
出版信息
Ophthalmic Surg Lasers Imaging Retina. 2017 Mar 1;48(3):237-241. doi: 10.3928/23258160-20170301-07.
BACKGROUND AND OBJECTIVE
To investigate the outcomes of combined pars plana vitrectomy (PPV), transient keratoprosthesis (TKP), and penetrating keratoplasty (PKP) in patients with coexisting corneal and vitreoretinal diseases.
PATIENTS AND METHODS
Patients who underwent PPV, TKP, and PKP were included. The main outcome measures were change in visual acuity (VA), clarity of the graft, and retinal attachment.
RESULTS
Twenty eyes were included. The mean follow-up time was 18 months ± 9.5 months. The baseline VA was light perception in 15 eyes and hand motions in five eyes and was found to be increased in 15 eyes (75%), decreased in one eye (5%), and stable in four eyes (20%). The mean corneal graft survival time was 11.1 months ± 8.5 months. Three eyes (15%) showed phthisis bulbi at the last visit.
CONCLUSION
The triple procedure seems to be an effective treatment option in patients who suffer from coexisting corneal and vitreoretinal diseases. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:237-241.].
背景与目的
探讨在合并角膜和玻璃体视网膜疾病的患者中，联合玻璃体切割术（PPV）、临时性角膜移植术（TKP）和穿透性角膜移植术（PKP）的治疗效果。
患者与方法
纳入接受PPV、TKP和PKP的患者。主要观察指标为视力（VA）变化、移植片清晰度和视网膜附着情况。
结果
共纳入20只眼。平均随访时间为18个月±9.5个月。基线视力在15只眼中为光感，5只眼中为手动，其中15只眼（75%）视力提高，1只眼（5%）视力下降，4只眼（20%）视力稳定。角膜移植片平均存活时间为11.1个月±8.5个月。最后一次随访时，3只眼（15%）出现眼球痨。
结论
对于合并角膜和玻璃体视网膜疾病的患者，三联手术似乎是一种有效的治疗选择。[《眼科手术、激光与视网膜成像》。2017年；48:237 - 241。]
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