一种用于玻璃体视网膜手术的新型临时性角膜移植术技术。
A novel temporary keratoprosthesis technique for vitreoretinal surgery.
作者信息
Skevas Christos, Bigdon Eileen, Steinhorst Alexander, Katz Toam, Schindler Philipp, Kromer Robert, Spitzer Martin Stephan
机构信息
Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
出版信息
Int J Ophthalmol. 2021 Nov 18;14(11):1791-1795. doi: 10.18240/ijo.2021.11.21. eCollection 2021.
AIM
To investigate the safety of vitreoretinal surgery when using a soft contact lens as a temporary keratoprosthesis (TKP) in patients with severe corneal opacifications.
METHODS
Three patients with simultaneous corneal and vitreoretinal pathology were treated with a soft contact lens that was used as a TKP to facilitate vitreoretinal surgery. The soft contact lens was fixated with sutures onto the globe so that no leakage was possible.
RESULTS
Vitreoretinal surgery with excellent fundus view was possible in all cases. The soft contact lens allowed safe central and peripheral vitrectomy. Surgery was successful in all cases.
CONCLUSION
A soft contact lens properly fixated on the globe can successfully replace a TKP. This surgical procedure has several advantages like one size fits all, low costs, and easy access to the material.
目的
研究在患有严重角膜混浊的患者中，使用软性接触镜作为临时角膜移植片（TKP）进行玻璃体视网膜手术的安全性。
方法
3例同时患有角膜和玻璃体视网膜病变的患者接受了软性接触镜治疗，该软性接触镜用作TKP以方便进行玻璃体视网膜手术。软性接触镜通过缝线固定在眼球上，以防止渗漏。
结果
所有病例均能进行眼底视野极佳的玻璃体视网膜手术。软性接触镜允许进行安全的中央和周边玻璃体切除术。所有病例手术均成功。
结论
正确固定在眼球上的软性接触镜可以成功替代TKP。这种手术方法具有多种优点，如通用、成本低以及材料易于获取。
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