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眼前段和眼后段手术中的临时角膜假体:对其历史和发展的叙述性综述。

Temporary keratoprostheses in anterior and posterior segment surgery: A narrative review of their history and development.

机构信息

Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USA; John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USA; Utah Lions Eye Bank, Murray, UT, USA.

University of Utah School of Medicine, Salt Lake City, UT, USA.

出版信息

Surv Ophthalmol. 2023 Jul-Aug;68(4):728-745. doi: 10.1016/j.survophthal.2023.01.011. Epub 2023 Feb 9.

Abstract

Visualizing the posterior segment during vitreoretinal surgery can be difficult in eyes with concurrent corneal opacity. Temporary keratoprostheses have emerged as devices that ensure visibility of the posterior vitreous cavity while simultaneously preserving the donor corneal graft. Several models of these devices are described in the current literature, and new design models and surgical techniques surrounding their use continue to be developed. We summarize the different temporary keratoprosthesis models with their associated surgical techniques, advantages, and shortcomings; discuss the clinical results of studies utilizing these devices; and examine alternative tools and techniques for approaching combined anterior and posterior segment operations.

摘要

在伴有角膜混浊的眼中,进行玻璃体视网膜手术时观察眼后段较为困难。临时角膜假体的出现确保了后玻璃体腔的可视性,同时保留了供体角膜移植物。目前文献中描述了几种此类设备的模型,并且围绕其使用的新设计模型和手术技术仍在不断发展。我们总结了不同的临时角膜假体模型及其相关的手术技术、优点和缺点;讨论了使用这些设备的研究的临床结果;并研究了用于处理前节和后节联合手术的替代工具和技术。

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