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临时人工角膜用于严重眼外伤的眼前后段联合手术
作者姓名:Chen J  Yang B  Liu Z  Wang Z  Chen L  Tang S
作者单位:中山医科大学中山眼科中心
摘    要:目的评价临时人工角膜下眼前后段联合手术对严重眼外伤病变的治疗价值。方法对眼球穿通伤所致的眼球前后段严重的病变18例(18只眼),按伤眼的适应证,施行临时人工角膜下的玻璃体切除、眼内异物取出术、视网膜复位术及相关各种眼内显微技术(视网膜前膜剥离、重水液下操作、眼内硅油填充、眼内电凝和眼内激光等)和穿透性角膜移植术或自体角膜片转位移植术,观察其术后的转归及恢复情况。结果所有术眼的眼球均得到了保留,14只眼的视力较术前提高,其中5只眼的视力达到0.1以上,3/10只眼术后再次出现视网膜脱离,2只眼出现角膜植片混浊,各有1只眼出现玻璃体混浊和继发性青光眼,其中1只眼与术前一样为眼球萎缩。结论临时人工角膜下的眼前后段联合手术是目前治疗严重眼外伤病变的唯一有效的方法

关 键 词:眼损伤  .穿透性  玻璃体切除术  角膜移植.穿透性

Temporary keratoprosthesis for surgery of severe injuries of ocular anterior and posterior segments
Chen J,Yang B,Liu Z,Wang Z,Chen L,Tang S.Temporary keratoprosthesis for surgery of severe injuries of ocular anterior and posterior segments[J].Chinese Journal of Ophthalmology,1998,34(6):434-437.
Authors:Chen J  Yang B  Liu Z  Wang Z  Chen L  Tang S
Institution:Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060.
Abstract:Objective To evaluate the treatment of severe ocular injuries of anterior and posterior segments with temporary keratoprosthesis used in combined operations. Methods With temporary keratoprosthesis a combined operation including pars plana vitrectomy, air fluid exchange, silicone oil fill in, use of perfluorocarbon liquid, foreign body removal and partial penetrating kertoplasty was performed on 18 eyes of 18 patients with severe ocular injuries, and the postoperative changes and recovery were observed. Results All eyes were rescued, the visual acuity was increased in 12 eyes, above 0.1 being in 5 eyes, retinal detachment recurred in 3 of 10 eyes, vitreous opacity was present in 1 eye, secondary glaucoma in 1 eye, and atrophy in 1 eye as its preoperative status. Conclusion Temporary keratoprosthesis used in the combined surgeries of anterior and posterior ocular segments is an effective method for treatment of severe ocular injuries.
Keywords:Eye injuries  penetrating    Vitrectomy    Keratoplasty  penetrating  
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