Lang G K, Green W R
Cornea. 1985;4(4):229-38.
Seventy-two keratoplasty eyes obtained surgically from 72 patients were examined histopathologically. The age at the time of enucleation ranged between 2 months and 91 years, with an average of 47.2 years. The 72 eyes were placed in five categories according to the surgical procedures performed: (a) 20 eyes with a penetrating keratoplasty as the only intraocular operation; (b) nine eyes with two or more penetrating keratoplasties; (c) 29 eyes with one or more keratoplasties with other procedures performed at the same time or another time; (d) nine eyes with lamellar keratoplasties; (e) five eyes with tectonic keratoplasties. The corneas were perforated at the time of keratoplasty in 15 eyes (20.8%). The average age at the first keratoplasty was 45.1 years. Overall, the most frequent causes of enucleation were secondary glaucoma (45.8%), melting of the graft (13.9%), exogenous endophthalmitis (12.5%), and trauma (8.3%). An expulsive hemorrhage occurred in 5.6% of eyes.
对72例患者手术获取的72只角膜移植眼进行了组织病理学检查。眼球摘除时的年龄在2个月至91岁之间，平均年龄为47.2岁。根据所施行的手术方式，将这72只眼分为五类：(a) 20只眼仅进行了穿透性角膜移植这一内眼手术；(b) 9只眼进行了两次或更多次穿透性角膜移植；(c) 29只眼进行了一次或多次角膜移植，同时或其他时间还进行了其他手术；(d) 9只眼进行了板层角膜移植；(e) 5只眼进行了结构性角膜移植。15只眼（20.8%）在角膜移植时角膜被穿孔。首次角膜移植时的平均年龄为45.1岁。总体而言，眼球摘除最常见的原因是继发性青光眼（45.8%）、植片溶解（13.9%）、外源性眼内炎（12.5%）和外伤（8.3%）。5.6%的眼发生了驱逐性出血。
