Bialasiewicz A A, Förster W, Busse H
Augenklinik, Friedrich Wilhelms-Universität Münster.
Klin Monbl Augenheilkd. 1993 Oct;203(4):240-6. doi: 10.1055/s-2008-1045675.
The potential benefits of anterior segment surgery to achieve visual rehabilitation in severely compromised eyes subsequent to infectious complications in the anterior segment remain a subject of controversy.
Anterior segment reconstructive surgery was performed on twelve patients (12 eyes) with infectious adherent leukoma and extensively damaged intraocular structures. Nine patients (nine eyes) were followed up over a period of two years (20-26 months) and three over a period of nine months (8-11 months).
Simultaneous and consecutive surgical interventions including corneal grafting, anterior chamber reconstruction and posterior chamber lens implantation combined with antimicrobial and antiviral prophylaxis as well as corticosteroid treatment resulted in visual recovery in nine eyes, and in four in a visual acuity of 0.4 or better (reading VA).
Surgery for optic reasons due to infectious adherent leukoma does not seem to be completely unsuccessful with respect to the low complication rate despite proven retrocorneal membranes in this study.
眼前节手术对因眼前节感染性并发症而严重受损的眼睛实现视觉康复的潜在益处仍是一个有争议的话题。
对12例（12只眼）患有感染性粘连性角膜白斑且眼内结构广泛受损的患者进行了眼前节重建手术。9例（9只眼）患者随访了两年（20 - 26个月），3例随访了9个月（8 - 11个月）。
包括角膜移植、前房重建和后房型人工晶状体植入在内的同步和连续手术干预，联合抗菌和抗病毒预防以及皮质类固醇治疗，使9只眼恢复了视力，4只眼的视力达到0.4或更好（可读视力）。
尽管本研究中证实存在角膜后膜，但因感染性粘连性角膜白斑进行的视神经原因手术似乎并发症发生率较低，并非完全不成功。
