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角膜移植联合一期和二期晶状体植入术。

Keratoplasty with primary and secondary lens implantation.

作者信息

Alpar J J

出版信息

Ophthalmic Surg. 1978 Oct;9(5):58-66.

PMID:400849
Abstract

Twenty-eight combined grafting and lens implantation operations were performed for patients with corneal disease plus cataract, or aphakia. Eighteen of these cases had cataract extraction at the time of surgery and ten had grafting, vitrectomy and secondary lens implantation in already aphakic eyes. The longest follow-up was forty-seven months; the shortest, six months with an average of 21 months. Complications included cystoid macular edema (five), transient rise in intraocular pressure, hemorrhage. One lens had to be removed, and one graft will have to be replaced with possible removal of the lens. Cystoid macular edema occurred in two cases of the 18 graft-cataract-implant cases (11%) and in three of the 10 cases of graft-vitrectomy-implant patients (30%), a total of 17.9%. Hemorrhage occurred in two cases (7%), and transient elevation of the intraocular pressure also in two cases (7%).

摘要

对患有角膜疾病合并白内障或无晶状体眼的患者进行了28例联合移植和晶状体植入手术。其中18例在手术时进行了白内障摘除,10例在已无晶状体的眼中进行了移植、玻璃体切除术和二期晶状体植入。最长随访时间为47个月;最短为6个月,平均为21个月。并发症包括黄斑囊样水肿(5例)、眼压短暂升高、出血。有1枚晶状体不得不取出,1枚移植片可能需要更换并可能取出晶状体。在18例移植-白内障-植入病例中有2例(11%)发生黄斑囊样水肿,在10例移植-玻璃体切除术-植入患者中有3例(30%)发生,总计17.9%。出血发生2例(7%),眼压短暂升高也发生2例(7%)。

相似文献

1
Keratoplasty with primary and secondary lens implantation.角膜移植联合一期和二期晶状体植入术。
Ophthalmic Surg. 1978 Oct;9(5):58-66.
2
Keratoplasty and intraocular lenses: follow-up study.角膜移植术与人工晶状体:随访研究
Ophthalmic Surg. 1977 Apr;8(2):49-57.
3
Complex deep lamellar endothelial keratoplasty for complex bullous keratopathy with severe vision loss.复杂深板层内皮角膜移植术治疗伴有严重视力丧失的复杂大疱性角膜病变。
Cornea. 2009 Feb;28(2):157-62. doi: 10.1097/ICO.0b013e3181859fa0.
4
[Secondary intraocular lens implantation].
Klin Oczna. 1998;100(1):27-30.
5
Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments.人工晶状体植入术用于玻璃体切除术后矫正因残留晶状体核碎片导致的无晶状体状态。
J Cataract Refract Surg. 2004 Dec;30(12):2585-9. doi: 10.1016/j.jcrs.2004.04.050.
6
Keratoplasty with primary and secondary lens implantation.角膜移植联合一期和二期晶状体植入术。
Ann Ophthalmol. 1981 Nov;13(11):1255-7.
7
Intraocular lens implantation combined with penetrating keratoplasty.人工晶状体植入联合穿透性角膜移植术。
Ophthalmic Surg. 1977 Jun;8(3):113-6.
8
Keratoplasty and intraocular lenses.
Cornea. 1985;4(3):137-47.
9
[Clinical results of the aphakia correction by means of secondary implantation of the iris-fixated anterior chamber intraocular lens].[虹膜固定型前房人工晶状体二期植入矫正无晶状体眼的临床结果]
Cesk Slov Oftalmol. 2007 Jul;63(4):285-91.
10
Complications of Descemet's stripping with automated endothelial keratoplasty: survey of 118 eyes at One Institute.自动角膜内皮移植术行后弹力层剥除的并发症:一所机构118只眼的调查
Ophthalmology. 2008 Sep;115(9):1517-24. doi: 10.1016/j.ophtha.2008.01.024. Epub 2008 Apr 18.

引用本文的文献

1
The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery.白内障手术后黄斑囊样水肿的发病率、发病机制及治疗
Trans Am Ophthalmol Soc. 1998;96:557-634.
2
The triple procedure: 2 to 10 year follow-up.三联手术:2至10年随访
Trans Am Ophthalmol Soc. 1986;84:221-49.