穿透性角膜移植联合瞳孔成形术的临床观察

目的观察穿透性角膜移植联合瞳孔成形术的效果。方法４８只眼行穿透性角膜移植术的同时对虹膜缺损进行修复，成形瞳孔。术后随访６～８９个月。结果植片透明者３８只眼（７９．２％），视力恢复０．１以上者３１只眼（６４．６％），瞳孔修复接近正常者４３只眼（８９．６％）。结论穿透性角膜移植联合瞳孔成形术，可减少术后并发症、改善植片的预后及视功能。对波及瞳孔的虹膜缺损，联合行瞳孔成形术效果较好。

Pentrating keratoplasty combined wity pupilloplasty

Objictive To investigate the effect of penetrating keratoplasty combined with pupilloplasty.Methods The penetrating keratoplasty combined with pupilloplasty was performed on 48 eyes .They had been followed up for 6-89 months postoperatively.Results The rate of clarity was 79.2%,and the visual acuity of 0.1 or better was restored in 64.6% after an average follow up of 19.4 months.The pupil was repaired to approximately normal in 89.6%, and the incidence of postoperative complications,anterior synechia and glaucoma,was lowered.Conclusion The results show that the combined operation can reduce the postoperative complications,improve the prognosis of grafts and vision,and is valuable for the patients with corneal opacity and gappy iris.