Asbell P A, Werblin T P, Loupe D N, Morgan K S, Kaufman H E
Ophthalmic Surg. 1982 Jul;13(7):555-7.
Five patients required secondary surgical procedures after receiving epikeratophakia grafts. A neonate underwent epikeratophakia in combination with extracapsular cataract extraction, followed one week later by peripheral iridectomy and nine months later by strabismus surgery. A 53-year-old male had surgery to correct retinal detachment 4-1/2 months after epikeratophakia surgery for the correction of aphakia. A five-year-old male had epikeratophakia after removal of a traumatic cataract; five weeks later, retinal detachment necessitated vitrectomy, 360 degrees buckle, and cyclocryotherapy. A 4-1/2-year-old female had epikeratophakia for aphakia, followed nine months later by strabismus surgery. A 38-year-old female with keratoconus received a plano epikeratophakia graft, in combination with an extracapsular cataract extraction and anterior vitrectomy, followed two weeks later by an Ocutome vitrectomy. In all cases, the epikeratophakia grafts and interfaces remained clear, and in four of the five patients in whom secondary procedures were successful, vision continued to improve with time.
5例患者在接受表层角膜镜片术移植后需要二次手术。1例新生儿接受了表层角膜镜片术联合囊外白内障摘除术，1周后进行周边虹膜切除术，9个月后进行斜视手术。1例53岁男性在接受表层角膜镜片术矫正无晶状体眼4个半月后进行了视网膜脱离修复手术。1例5岁男性在外伤性白内障摘除术后接受了表层角膜镜片术；5周后，视网膜脱离需要进行玻璃体切除术、360度巩膜环扎术和睫状体冷凝术。1例4岁半女性因无晶状体眼接受了表层角膜镜片术，9个月后进行了斜视手术。1例38岁圆锥角膜女性接受了平光表层角膜镜片术移植，联合囊外白内障摘除术和前部玻璃体切除术，2周后进行了切割器玻璃体切除术。在所有病例中，表层角膜镜片术移植片和界面均保持清晰，在5例接受二次手术且成功的患者中，有4例视力随时间持续改善。
