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人工晶状体眼大泡性角膜病变的人工晶状体置换术。

Intraocular lens replacement in pseudophakic bullous keratopathy.

作者信息

Hall J R, Muenzler W S

出版信息

Trans Ophthalmol Soc U K (1962). 1985;104 ( Pt 5):541-5.

PMID:3901432
Abstract

Fifty-three patients with pseudophakic bullous keratopathy (PBK) were treated with: Corneal transplant, Removal of the original intraocular lens (IOL), Replacement with a sutured-in posterior chamber IOL. Vitrectomy was performed in all but two cases. Eighty-eight per cent of the corneal transplants were clear and the vision was 20/200 or better in seventy-five per cent. Visual results are equal to other reported series where over one-third of the original IOLs were removed at the time of keratoplasty and were not replaced. We believe this is the first reported series using these procedures. The corneal transplants remain clear, the vision stable and pain alleviated after an average follow-up of 3 years.

摘要

53例人工晶状体植入术后大泡性角膜病变(PBK)患者接受了以下治疗:角膜移植、取出原人工晶状体(IOL)、置换为缝合固定的后房型IOL。除2例患者外,其余均进行了玻璃体切除术。88%的角膜移植片保持透明,75%的患者视力达到20/200或更好。视觉效果与其他报道的系列研究相当,在那些研究中,超过三分之一的原IOL在角膜移植时被取出且未进行置换。我们认为这是首个报道采用这些手术方法的系列研究。平均随访3年后,角膜移植片保持透明,视力稳定,疼痛缓解。

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1
Intraocular lens replacement in pseudophakic bullous keratopathy.人工晶状体眼大泡性角膜病变的人工晶状体置换术。
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引用本文的文献

1
Long-term safety and visual outcomes of transscleral sutured posterior chamber IOLs and penetrating keratoplasty combined with transscleral sutured posterior chamber IOLs.经巩膜缝合后房型人工晶状体及穿透性角膜移植联合经巩膜缝合后房型人工晶状体的长期安全性和视觉效果
Trans Am Ophthalmol Soc. 2009 Dec;107:242-50.
2
Penetrating keratoplasty for pseudophakic corneal oedema.穿透性角膜移植术治疗人工晶状体眼性角膜水肿
Br J Ophthalmol. 1995 May;79(5):435-8. doi: 10.1136/bjo.79.5.435.
3
Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction.
用于囊内摘除术后二期人工晶状体植入术中运输和固定的晶状体引导缝线。
Int Ophthalmol. 1986 May;9(2-3):151-60. doi: 10.1007/BF00159844.
4
Retention of iris supported intraocular lenses at the time of penetrating keratoplasty for pseudophakic corneal oedema.在穿透性角膜移植治疗人工晶状体性角膜水肿时保留虹膜支撑型人工晶状体。
Br J Ophthalmol. 1989 Jun;73(6):407-9. doi: 10.1136/bjo.73.6.407.
5
An analysis of corneal endothelial and graft survival in pseudophakic bullous keratopathy.人工晶状体植入术后大泡性角膜病变的角膜内皮及植片存活率分析
Trans Am Ophthalmol Soc. 1989;87:762-801.
6
Combined penetrating keratoplasty and posterior chamber intraocular lens implantation in the absence of a lens capsule.在无晶状体囊的情况下联合穿透性角膜移植术和后房型人工晶状体植入术。
Trans Am Ophthalmol Soc. 1990;88:326-39; discussion 339-42.
7
Experience with transscleral fixation of posterior chamber lenses.
Graefes Arch Clin Exp Ophthalmol. 1991;229(6):512-6. doi: 10.1007/BF00203312.