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白内障超声乳化吸除术和晶状体粉碎术后发生的角膜混浊。

Corneal opacification occurring after phacoemulsification and phacofragmentation.

作者信息

Arentsen J J, Rodrigues M M, Laibson P R, Streeten B

出版信息

Am J Ophthalmol. 1977 Jun;83(6):794-804. doi: 10.1016/0002-9394(77)90905-9.

DOI:10.1016/0002-9394(77)90905-9
PMID:868979
Abstract

Four patients developed progressive corneal opacification five to eight months after ultrasonic cataract extraction. Transmission electron microscopy was performed in all patients. Scanning electron microscopy, performed in only one patient, showed radiating folds of Descemet's membrane with pits on its posterior surface as well as focal traumatic disruption probably caused by probe contact. Bullous keratopathy was present in one patient. Two other patients had folds of Descemet's membrane and a thin retrocorneal fibrous layer. All four tumor specimens showed secondary epithelial and stromal changes. The common denominator was the total or partial absence of endothelium or marked alterations of its remnants.

摘要

4例患者在超声乳化白内障摘除术后5至8个月出现进行性角膜混浊。对所有患者均进行了透射电子显微镜检查。仅对1例患者进行了扫描电子显微镜检查,结果显示后弹力层有放射状褶皱,其后表面有凹坑,以及可能由探头接触引起的局灶性创伤性破坏。1例患者存在大泡性角膜病变。另外2例患者有后弹力层褶皱和角膜后薄纤维层。所有4个肿瘤标本均显示继发性上皮和基质改变。共同特征是内皮细胞完全或部分缺失或其残余物有明显改变。

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1
Corneal opacification occurring after phacoemulsification and phacofragmentation.白内障超声乳化吸除术和晶状体粉碎术后发生的角膜混浊。
Am J Ophthalmol. 1977 Jun;83(6):794-804. doi: 10.1016/0002-9394(77)90905-9.
2
The phacoemulsification procedure. III. Corneal complications.超声乳化手术。III. 角膜并发症。
Invest Ophthalmol Vis Sci. 1977 Jan;16(1):39-46.
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Descemet's membrane detachment after cataract extraction.白内障摘除术后后弹力层脱离
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[Etiology and morphology of retrocorneal membranes following microsurgical operations of the anterior eye segment].[眼前节显微手术后角膜后膜的病因及形态学]
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Defects of Descemet's membrane as a complication in cataract extraction with lens implantation.作为白内障摘除联合人工晶状体植入术并发症的后弹力层缺陷
Dev Ophthalmol. 1987;13:20-9.
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The ultrastructure of Descemet's membrane. II. Aphakic bullous keratopathy.后弹力层的超微结构。II. 无晶状体大泡性角膜病变。
Arch Ophthalmol. 1982 Dec;100(12):1948-51. doi: 10.1001/archopht.1982.01030040928012.
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Histopathology of a retrocorneal membrane after Descemet membrane endothelial keratoplasty: a case report.角膜后弹力层内皮角膜移植术后角膜后膜的组织病理学:一例报告
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Scrolls of Descemet's membrane in healed syphilitic interstitial keratitis.愈合的梅毒性间质性角膜炎中后弹力层膜的卷曲
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Perfluoropropane (C3F8) injection for Descemet's membrane detachment in cataract surgery.全氟丙烷(C3F8)注射用于白内障手术中后弹力层脱离
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Congenital central corneal leukoma (Peters' anomaly).先天性中央角膜白斑(彼得斯异常)。
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引用本文的文献

1
The histology of iatrogenic keratitis bullosa.医源性大疱性角膜炎的组织学
Doc Ophthalmol. 1981 Mar 20;50(2):357-64. doi: 10.1007/BF00158020.
2
Penetrating keratoplasty for the treatment of pseudophakic corneal edema associated with posterior chamber lens implantation.穿透性角膜移植术治疗与后房型人工晶状体植入相关的假晶状体性角膜水肿。
Trans Am Ophthalmol Soc. 1987;85:393-404.
3
Keratoplasty in aphakic eyes with corneal edema. Results in 100 cases with 10-year followup.无晶状体眼合并角膜水肿的角膜移植术。100例患者10年随访结果。
Trans Am Ophthalmol Soc. 1979;77:657-73.