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角膜移植术中的青光眼

Glaucoma in keratoplasty.

作者信息

Polack F M

出版信息

Cornea. 1988;7(1):67-70.

PMID:3280238
Abstract

This paper reports intraocular pressure findings in 676 eyes that received penetrating keratoplasties. There were four groups: 1. keratoconus without preoperative glaucoma (75 cases); 2. Fuchs' dystrophy and cataract (triple procedure) without glaucoma (260 cases); 3. aphakic eyes with or without intraocular lenses (204 cases); and 4. pseudophakic eyes with or without intraocular lens removal (137 cases). The last two groups had a significant number of glaucoma cases. All were controlled before surgery. There were no early or late glaucoma cases in the first group. A few cases with triple procedures had mild early intraocular pressure elevation. Thirty percent of aphakic eyes and 52% of pseudophakic eyes had early glaucoma. Twenty percent and 25% of these two groups had persistent glaucoma. Preoperative glaucoma eyes were included in these long-standing glaucoma cases.

摘要

本文报告了676只接受穿透性角膜移植术的眼睛的眼压情况。共分为四组:1. 术前无青光眼的圆锥角膜(75例);2. 无青光眼的富克斯营养不良合并白内障(三联手术)(260例);3. 有或无人工晶状体的无晶状体眼(204例);4. 有或无人工晶状体取出的人工晶状体眼(137例)。后两组中有相当数量的青光眼病例。所有病例在手术前眼压均得到控制。第一组无早期或晚期青光眼病例。少数接受三联手术的病例有轻度早期眼压升高。30%的无晶状体眼和52%的人工晶状体眼有早期青光眼。这两组中分别有20%和25%的病例有持续性青光眼。术前青光眼患者被纳入这些长期青光眼病例中。

相似文献

1
Glaucoma in keratoplasty.角膜移植术中的青光眼
Cornea. 1988;7(1):67-70.
2
Steroid-induced intraocular pressure elevation or glaucoma after penetrating keratoplasty in patients with keratoconus or Fuchs dystrophy.圆锥角膜或富克斯营养不良患者穿透性角膜移植术后类固醇诱导的眼压升高或青光眼。
Cornea. 2009 Aug;28(7):759-64. doi: 10.1097/ICO.0b013e3181967318.
3
Results of keratoplasty for aphakic or pseudophakic corneal edema with intraocular lens implantation or exchange.无晶状体或人工晶状体植入或置换术后并发角膜水肿的角膜移植术结果。
Cornea. 1988;7(4):239-43.
4
Endothelial keratoplasty for Fuchs' dystrophy with cataract: complications and clinical results with the new triple procedure.伴有白内障的Fuchs角膜内皮营养不良的内皮角膜移植术:新三联手术的并发症及临床结果
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Cataract surgery in patients with Fuchs' corneal dystrophy: expanding recommendations for cataract surgery without simultaneous keratoplasty.富克斯角膜营养不良患者的白内障手术:扩大无同期角膜移植白内障手术的推荐范围。
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6
Problems associated with penetrating keratoplasty for corneal edema in congenital glaucoma.先天性青光眼角膜水肿穿透性角膜移植术相关问题。
Ophthalmic Surg. 1989 Jun;20(6):399-402.
7
Indications for penetrating keratoplasty and associated procedures, 1989-1995.穿透性角膜移植术及相关手术的适应症,1989 - 1995年
Cornea. 1997 Nov;16(6):623-9.
8
Results of penetrating keratoplasty with cataract extraction and intraocular lens implantation in Fuchs' dystrophy.富克斯角膜内皮营养不良行穿透性角膜移植联合白内障摘除及人工晶状体植入术的结果
Indian J Ophthalmol. 1987;35(5-6):161-4.
9
Elevated intraocular pressure following penetrating keratoplasty.穿透性角膜移植术后眼压升高
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10
Intraocular pressure elevation within the first 24 hours after cataract surgery in patients with glaucoma or exfoliation syndrome.青光眼或剥脱综合征患者白内障手术后24小时内眼压升高。
Ophthalmology. 2008 Jan;115(1):104-8. doi: 10.1016/j.ophtha.2007.03.058. Epub 2007 Jun 11.

引用本文的文献

1
Endothelial keratoplasty versus penetrating keratoplasty for Fuchs endothelial dystrophy.针对富克斯内皮营养不良,内皮角膜移植术与穿透性角膜移植术的比较。
Cochrane Database Syst Rev. 2014 Feb 14;2014(2):CD008420. doi: 10.1002/14651858.CD008420.pub3.
2
Intraocular pressure elevation after Descemet's stripping endothelial keratoplasty.撕囊式内皮角膜移植术后眼压升高。
Jpn J Ophthalmol. 2012 Jul;56(4):307-11. doi: 10.1007/s10384-012-0149-0. Epub 2012 May 30.
3
Glaucoma and corneal transplant procedures.青光眼与角膜移植手术。
J Ophthalmol. 2012;2012:576394. doi: 10.1155/2012/576394. Epub 2012 Jan 18.
4
Intraocular pressure changes following Descemet's stripping with endothelial keratoplasty.Descemet 膜撕除内皮角膜移植术后眼压变化。
Graefes Arch Clin Exp Ophthalmol. 2010 Feb;248(2):237-42. doi: 10.1007/s00417-009-1199-y. Epub 2009 Nov 20.
5
Graft failure: III. Glaucoma escalation after penetrating keratoplasty.移植失败:III. 穿透性角膜移植术后青光眼病情进展
Int Ophthalmol. 2008 Jun;28(3):191-207. doi: 10.1007/s10792-008-9223-5.
6
Prospective 5-year postoperative study of cataract extraction and lens implantation.白内障摘除及晶状体植入术后5年的前瞻性研究。
Trans Am Ophthalmol Soc. 1989;87:57-75; discussion 76-8.
7
The association of Fuchs's corneal endothelial dystrophy with axial hypermetropia, shallow anterior chamber, and angle closure glaucoma.富克斯角膜内皮营养不良与轴性远视、浅前房和闭角型青光眼的关联。
Br J Ophthalmol. 1990 Oct;74(10):601-4. doi: 10.1136/bjo.74.10.601.
8
Myopia following penetrating keratoplasty for keratoconus.圆锥角膜穿透性角膜移植术后近视
Br J Ophthalmol. 1992 Nov;76(11):642-5. doi: 10.1136/bjo.76.11.642.