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在玻璃体切除术中植入临时角膜假体后行穿透性角膜移植术。

Penetrating keratoplasty after placement of a temporary keratoprosthesis during pars plana vitrectomy.

作者信息

Koenig S B, McDonald H R, Williams G A, Abrams G W

出版信息

Am J Ophthalmol. 1986 Jul 15;102(1):45-9. doi: 10.1016/0002-9394(86)90208-4.

Abstract

Five eyes of five patients with opaque corneas underwent penetrating keratoplasty after pars plana vitrectomy. In each case, the Landers-Foulks temporary keratoprosthesis provided visualization of the vitreous cavity and retina, allowed successful removal of hemorrhagic vitreous, and permitted retinal reattachment. Corneal grafts remained clear in two eyes; three grafts developed stromal edema. Useful postoperative vision was achieved in two eyes. However, proliferative vitreoretinopathy, postoperative hypotony, atrophia bulbi, and corneal edema resulted in poor vision in three eyes.

摘要

5例角膜混浊患者的5只眼在经扁平部玻璃体切除术后接受了穿透性角膜移植术。在每例手术中,Landers-Foulks临时角膜假体使玻璃体腔和视网膜得以可视化,成功清除了出血性玻璃体,并实现了视网膜复位。2只眼的角膜移植片保持透明;3只移植片出现基质水肿。2只眼术后获得了有用视力。然而,增殖性玻璃体视网膜病变、术后低眼压、眼球萎缩和角膜水肿导致3只眼视力不佳。

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