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[角膜移植术后治疗性软性角膜接触镜:适应证与并发症]

[Therapeutic soft lenses following keratoplasty, indications and complications].

作者信息

Severin M, Konen W, Kilp H

出版信息

Klin Monbl Augenheilkd. 1983 Jan;182(1):41-5. doi: 10.1055/s-2008-1054705.

DOI:10.1055/s-2008-1054705
PMID:6190037
Abstract

A reported on 27 eyes (25 patients) which were fitted with soft permanent lenses following penetrating keratoplasty. The eyes were divided into three groups, according to the nature of the epithelial damage caused by the lens: 1) mechanical damage; 2) primary damage to the endothelium with secondary epithelial resistance. In 52% of the cases superficial neovascularization occurred, but this did not lead to serious complications. In the first and second groups, infiltrates were only seen after longterm use. The highest rate of complications, with infiltrates occurring relatively early and with liquefaction, was observed in the third group. In the first group the permanent lens led to lasting stabilization of the condition with a relatively low risk. In the second group the lens brought freedom from complaints with complications occurring only after 1-2 years. In the third group it was found that complications with negative courses may arise after only a short time.

摘要

A报告了27只眼(25例患者)在穿透性角膜移植术后佩戴软性永久性镜片的情况。根据镜片引起的上皮损伤性质,将这些眼分为三组:1)机械性损伤;2)内皮细胞原发性损伤伴继发性上皮抵抗。52%的病例出现浅表新生血管,但未导致严重并发症。在第一组和第二组中,仅在长期使用后才出现浸润。第三组观察到并发症发生率最高,浸润出现相对较早且伴有液化。在第一组中,永久性镜片使病情持久稳定,风险相对较低。在第二组中,镜片使患者摆脱不适,并发症仅在1至2年后出现。在第三组中发现,仅在短时间后就可能出现预后不良的并发症。

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1
[Therapeutic soft lenses following keratoplasty, indications and complications].[角膜移植术后治疗性软性角膜接触镜:适应证与并发症]
Klin Monbl Augenheilkd. 1983 Jan;182(1):41-5. doi: 10.1055/s-2008-1054705.
2
Corneal ulcer-infiltrate associated with soft contact lens use following penetrating keratoplasty.穿透性角膜移植术后与软性接触镜使用相关的角膜溃疡浸润
Cornea. 1984;3(2):131-4.
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[Corneal neovascularization following short-term wear of soft contact lenses].[短期佩戴软性接触镜后的角膜新生血管化]
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