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人工晶状体性角膜病变的角膜移植术。

Keratoplasty for pseudophakic keratopathy.

作者信息

Robertson I F, Stasiuk R M, Campbell W G

出版信息

Aust N Z J Ophthalmol. 1985 Nov;13(4):359-64. doi: 10.1111/j.1442-9071.1985.tb00448.x.

DOI:10.1111/j.1442-9071.1985.tb00448.x
PMID:3914310
Abstract

Penetrating corneal grafts were performed on 15 eyes with keratopathy due to implantation of iris-supported intraocular lenses, on one eye with keratopathy due to an anterior chamber lens, and one eye with keratopathy due to a posterior chamber lens. A systematic meticulous surgical technique, with a softened eye, the use of a Flieringa ring, anterior vitrectomy and sodium hyaluronate (Healon) have resulted in clear grafts in all except in four eyes. Although most grafts have remained clear, the visual results are poor mainly due to glaucoma and/or maculopathy. Every effort was made to retain the implants and some were repositioned and sutured to the iris. Long-term postoperative follow-up, with good patient compliance and the judicious use of topical corticosteroids and timolol, is essential to maintain clear grafts.

摘要

对15只因植入虹膜支撑型人工晶状体而患角膜病变的眼睛、1只因前房型人工晶状体而患角膜病变的眼睛以及1只因后房型人工晶状体而患角膜病变的眼睛进行了穿透性角膜移植。采用系统精细的手术技术,包括软化眼球、使用弗林加环、前部玻璃体切除术和透明质酸钠(Healon),除4只眼睛外,其余所有眼睛的移植片均保持透明。尽管大多数移植片保持透明,但视觉效果不佳,主要原因是青光眼和/或黄斑病变。尽一切努力保留植入物,一些植入物被重新定位并缝合到虹膜上。术后长期随访,患者良好的依从性以及合理使用局部皮质类固醇和噻吗洛尔,对于维持移植片透明至关重要。

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1
Keratoplasty for pseudophakic keratopathy.人工晶状体性角膜病变的角膜移植术。
Aust N Z J Ophthalmol. 1985 Nov;13(4):359-64. doi: 10.1111/j.1442-9071.1985.tb00448.x.
2
Results of penetrating keratoplasty for pseudophakic corneal edema with retention of intraocular lens.保留人工晶状体的假晶状体性角膜水肿穿透性角膜移植术的结果
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Arch Ophthalmol. 1987 Jan;105(1):58-62. doi: 10.1001/archopht.1987.01060010064032.
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6
Implantation of Kelman-style, open-loop anterior chamber lenses during keratoplasty for aphakic and pseudophakic bullous keratopathy. A comparison with iris-sutured posterior chamber lenses.在角膜移植术中植入开环式Kelman型前房人工晶状体治疗无晶状体眼和假晶状体眼大泡性角膜病变。与虹膜缝合后房型人工晶状体的比较。
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7
Specular microscopic follow-up of corneal grafts for pseudophakic bullous keratopathy.人工晶状体性大泡性角膜病变角膜移植的镜面显微镜随访
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8
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9
[Perforating keratoplasty in pseudophakia].[人工晶状体眼的穿透性角膜移植术]
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10
Penetrating keratoplasty and intraocular lens exchange for pseudophakic bullous keratopathy associated with a closed-loop anterior chamber intraocular lens.穿透性角膜移植术联合人工晶状体置换术治疗与闭环前房型人工晶状体相关的假晶状体性大疱性角膜病变
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