Pedersen O O
Ophthalmology Department, Buskerud Central Hospital, Drammen, Norway.
Acta Ophthalmol Suppl (1985). 1987;182:83-6. doi: 10.1111/j.1755-3768.1987.tb02598.x.
The treatment of eyes with significant opacities of the cornea as well as cataract is a major challenge for the ophthalmic surgeon. Recent data indicate that these problems may be dealt with safely in a single combined operation which includes penetrating corneal transplantation, extracapsular cataract extraction, and implantation of an artificial lens (triple procedure). In the present report the author's initial experience with the triple procedure is presented. In four patients with a minimum of 6 months follow-up, clear media and marked visual improvement were achieved in all cases. The corneal pathology included two cases of Fuchs' dystrophy, and two cases of central scarring following interstitial keratitis. No complications occurred. The visual rehabilitation time was short, and comparable to ordinary phakic grafting. The triple procedure should be considered in selected cases where there are no specific contraindications to corneal grafting, cataract extraction, or lens implantation.
对于患有严重角膜混浊及白内障的眼睛进行治疗，是眼科外科医生面临的一项重大挑战。近期数据表明，这些问题可通过一项联合手术安全解决，该联合手术包括穿透性角膜移植术、白内障囊外摘除术及人工晶状体植入术（三联手术）。在本报告中，作者介绍了其开展三联手术的初步经验。对4例患者进行了至少6个月的随访，所有病例均实现了透明屈光介质并显著改善了视力。角膜病变包括2例富克斯角膜内皮营养不良，以及2例间质性角膜炎后中央瘢痕形成。未发生并发症。视觉康复时间较短，与普通有晶状体眼移植相当。对于没有角膜移植、白内障摘除或晶状体植入特定禁忌证的特定病例，应考虑采用三联手术。
