无晶状体眼和人工晶状体眼角膜水肿的前段重建结果

Results of anterior segment reconstruction for aphakic and pseudophakic corneal edema.

作者信息

Waring G O, Kenyon K R, Gemmill M C

机构信息

Cornea Service, Emory University School of Medicine, Atlanta, GA 30322.

出版信息

Ophthalmology. 1988 Jun;95(6):836-41. doi: 10.1016/s0161-6420(88)33100-3.

DOI:10.1016/s0161-6420(88)33100-3

PMID:3211488

Abstract

The authors studied prospectively 59 eyes with corneal edema after cataract surgery that required reconstructive surgery; penetrating keratoplasty in 59 (100%), anterior vitrectomy in 42 (71%), intraocular lens removal or exchange in 33 (56%), gonioplasty in 32 (54%), and iridoplasty in 30 (51%). With an average follow-up of 9.9 months, the corneal transplant was clear in 56 eyes (95%). The corrected visual acuity was improved in 49 eyes (83%) and was the same in seven eyes (12%). Intraocular pressure was less than or equal to 21 mmHg in 47 eyes (80%) and 22 to 29 mmHg in nine eyes (15%). The peripheral anterior synechiae score was the same or improved in 56 eyes (95%). Cystoid macular edema was absent to mild in 52 eyes (88%). Anterior segment reconstruction improved both anatomic integrity and visual acuity of most eyes without increasing complications.

摘要

作者对59例白内障手术后发生角膜水肿且需要进行重建手术的患者的眼睛进行了前瞻性研究；其中59例（100%）接受了穿透性角膜移植术，42例（71%）接受了前部玻璃体切除术，33例（56%）进行了人工晶状体摘除或置换，32例（54%）进行了前房角成形术，30例（51%）进行了虹膜成形术。平均随访9.9个月，56只眼（95%）的角膜移植清晰。49只眼（83%）的矫正视力提高，7只眼（12%）的矫正视力不变。47只眼（80%）的眼压小于或等于21 mmHg，9只眼（15%）的眼压为22至29 mmHg。56只眼（95%）的周边前粘连评分相同或改善。52只眼（88%）无或仅有轻度黄斑囊样水肿。前段重建改善了大多数眼睛的解剖完整性和视力，且未增加并发症。