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1.
赵芳 《临床眼科杂志》2006,14(1):71-74,I0002
目的探讨全氟己基正辛烷(perfluorohexyloctane,F6H8)兔眼前房内存留不同时间对兔眼角膜内皮细胞、前房角、虹膜等组织结构的解剖和功能影响,方法 10只比利时有色兔,均以右眼为实验眼,左眼为对照眼。前房穿刺缓放房水后实验眼前房内注入0.2mlF6H8,对照眼注入0.2ml生理盐水。术后定期行裂隙灯、眼压、角膜厚度测量和角膜内皮镜检查,于术后一定时间气栓法处死兔取眼球行组织学检查。结果实验眼的眼压明显高于对照眼;下方角膜内皮细胞计数减少,角膜水肿、增厚。术后4w时小梁网结构失常,虹膜根部新生血管萌芽,角膜内皮细胞肿大,后表面有巨噬细胞附着;8-12w时,下方角膜内皮细胞空泡变性,部分区域变性崩解坏死;前房角大量巨噬细胞浸润,小梁网结构破坏,虹膜表面灶状巨噬细胞浸润并侵犯虹膜基质,虹膜表面新生血管形成。结论 F6H8前房内填充会造成眼前节组织结构和功能的破坏,F6H8作为硅油的清洗剂使用时,术中应尽量将其清除干净,注意避免其进入前房,尤其在无晶状体眼的患者更应谨慎,以免造成角膜内皮损害和继发性青光眼。  相似文献   

2.
壳聚糖胶原复合膜在兔角膜基质层间的组织相容性   总被引:1,自引:0,他引:1  
目的探讨壳聚糖胶原复合膜植入兔角膜基质层的组织相容性,以评价其作为人组织工程角膜修复支架材料的可行性。方法选用8只新西兰白兔,根据角膜基质层间植入膜片材料的不同平均分为A、B两组,A组植入壳聚糖胶原复合膜(实验组)、B组植入壳聚糖膜(对照组)。术后观察并记录术眼球结膜充血、角膜水肿、前房闪辉、角膜新生血管、材料的变化等情况,术后第8周取术眼角膜组织制作病理学切片进行HE染色观察,比较两组材料对角膜组织的不同影响。结果术后8周内,实验组炎症反应轻于对照组,且无角膜新生血管发生,对照组有2例发生角膜新生血管,两组膜片均于术后第2周开始降解,但在相同观察时间点,实验组膜片降解程度小于对照组。HE染色显示实验组膜片周围炎性细胞浸润轻于对照组,膜片降解程度小于对照组,降解物与角膜基质纤维融合。结论壳聚糖胶原复合膜与活体兔角膜基质组织的相容性比壳聚糖膜更优,其作为角膜损伤修复材料具有广阔前景。  相似文献   

3.
目的 观察有晶状体眼前房型虹膜固定人工晶状体植入治疗高度近视的临床疗效.方法 对11例(17只眼)高度近视患者进行术前虹膜YAG激光周边切除,1周后接受有晶状体眼Verisyse前房虹膜固定型人工晶状体植入手术,观察术后的裸眼视力、最好矫正视力、眼压、角膜及前房内炎症变化情况.结果 11例(17只眼)均顺利在前房内植入虹膜固定的人工晶状体,其中1只眼术后第3天发现人工晶状体单侧脱位再次手术固定.术后所有患者视力较术前均增加,裸眼≤0.5者3只眼,>0.5者14只眼.16只眼眼压术后检查正常,1只眼术后眼压升高至25 mm Hg,局部加用0.5%噻吗心胺点眼,2 d后眼压恢复正常.术后所有患者角膜透明,无内皮水肿的情况.13只眼出现前房轻度闪辉,4只眼前房可见较多的炎性细胞,用药后很快控制.结论 高度近视患者有晶状体眼前房植入虹膜固定型人工晶状体是一种较好的矫正视力方法,但其远期疗效及并发症有待进一步观察.  相似文献   

4.
目的 比较激光周边虹膜成形术及激光周边虹膜成形联合虹膜周边切开术对角膜内皮细胞的影响。方法 对15例20眼单纯行周边虹膜成形术;对17例23眼行周边虹膜成形联合虹膜切开术。采用接触型镜面反光显微镜(Konan SP-5500型,日本)检测术前、术后1小时、1周、1月、3月、6月的角膜内皮细胞。统计分析平均细胞密度、细胞面积的变异系数和六边形细胞的百分率。结果 两种激光术式治疗后1小时至6个月与治疗前相比较,角膜内皮平均细胞密度、平均细胞面积变异系数、六边形细胞的百分率均有显著性差异,两组间比较各时期内皮细胞密度没有显著性差异。术后3个月和6个月细胞面积变异系数和六角形细胞百分率两组间比较有显著性差异。结论 两种激光术式均可引起角膜内皮细胞的损害,联合激光术式对角膜内皮细胞的损害大于单纯术式。  相似文献   

5.
目的 评价青光眼滤过术后白内障患者行超声乳化联合人工晶状体植入术毕前房注射地塞米松的临床疗效。方法 选取青光眼滤过术后白内障患者98例(120眼),由同一医师进行白内障超声乳化联合人工晶状体植入术。所有患者随机分组,对照组48例(60眼)术毕给予地塞米松注射液0.5mL(2.5mg)球结膜下注射;试验组50例(60眼)术毕前房内注射0.1mL(0.5mg)地塞米松注射液。观察并比较两组患者手术后最佳矫正视力、前房反应、眼压、角膜内皮细胞计数、六角形细胞比率的差异。结果 青光眼滤过术后白内障超声乳化联合人工晶状体植入术后1d、3d最佳矫正视力试验组比对照组效果更好,2组比较差异有统计学意义(P<0.05),术后1周最佳矫正视力两组间差异无统计学意义(P>0.05);对照组与试验组术前,术后1d、3d、1周、1个月、3个月眼压组间比较差异均无统计学意义(均为P>0.05);对照组与试验组术后1d、3d、1周前房炎症反应组间差异有统计学意义(均为P<0.05),试验组眼前房炎症反应较轻;对照组与试验组术后3d、1周、1个月角膜内皮细胞密度、六角形细胞百分比及变异系数组间比较差异均有统计学意义(均为P<0.05),对照组较试验组术后细胞密度明显降低,六角形细胞百分比下降,变异系数增高。结论 青光眼滤过术后白内障超声乳化联合人工晶状体植入术毕前房注射地塞米松注射液是安全有效的,对术后短期内获得最佳矫正视力、减轻前房反应、减少角膜内皮细胞的丢失具有积极的临床意义。  相似文献   

6.
目的 分析闭角型青光眼患者行Nd:YAG激光虹膜周边切开术时,角膜内皮细胞的变化及其相关影响因素.方法 对35例(58眼)闭角型青光眼,应用Nd:YAG激光行虹膜周边切开术,术前、术后1周及术后1个月分别用角膜内皮镜进行定量、定性观察及统计分析,包括角膜内皮细胞密度、细胞面积、变异系数、六角形细胞百分数.结果 46眼(79.31%)经一次激光治疗成功切透虹膜、12眼(20.69%)经二次激光治疗成功切透虹膜.58眼术前、术后1周及术后1个月角膜内皮细胞密度、平均面积、变异系数、六边形细胞百分数差异均无统计学意义(P>0.05).结论 应用Nd:YAG激光行虹膜周边切开术对角膜内皮细胞无明显损伤,效果确切且安全.  相似文献   

7.
Hong J  Liu GF  Xia N  Gu SF  Han JY  Chai LJ 《中华眼科杂志》2008,44(2):122-127
目的 探讨小切口下角膜后弹力层剥除联合深板层内皮移植术(DSEK)的手术方法、疗效、并发症、内皮细胞的评价及组织学检查.方法 为实验研究.将24只新西兰大白兔随机分为3组,每组8只兔(8只眼),供体为新西兰大白兔16只眼.A组于角膜缘处行5 mm长隧道切口,剥去角膜中央直径10 mm的后弹力层,将等大的带有少量基质的后弹力层内皮细胞膜片植入受体眼;B组行单纯角膜后弹力层环形撕除术;C组在角膜后弹力层剥除后行去内皮细胞的带少许角膜基质和后弹力层膜片植入.术后观察1个月,比较3组兔角膜的透明性、植片贴附情况、角膜内皮细胞密度及并发症情况.结果 A组8只眼术前角膜内皮细胞密度平均值为(2728±108)个/mm2,术后角膜均恢复透明,内皮细胞密度平均为(2195±77)个/mm2,差异有统计学意义(t=12.455,P<0.001);组织切片证实角膜内皮细胞植片与受体植床愈合良好,层间无瘢痕形成.B组8只眼术后均有严重的角膜水肿,持续1个月未恢复,组织学检查术后28 d时仅在后弹力层剥除的交界处有极少数的内皮细胞长入.C组8只眼术后1周内角膜植片均水肿,5只眼植片脱位;术后至观察1个月,角膜中央水肿仍较明显,伴有角膜新生血管长入,组织学检查植片部位未见内皮细胞长入.结论 角膜后弹力层剥除联合深板层内皮移植术具有安全、损伤小、术后恢复快及无层间瘢痕的优点,是治疗大泡性角膜疾病的优选术式.  相似文献   

8.
Shi WY  Liu T  Xie LX  Wang SG 《中华眼科杂志》2006,42(4):299-304
目的探讨前房植入FK506药物缓释系统(DDS)对兔高危角膜移植术后免疫排斥反应的抑制作用和FK506房水药物浓度与免疫排斥反应的关系。方法107只新西兰白兔中随机数字法选取73只兔进行角膜新生血管化模型的制作,其中68只兔作为受体成功建立高危角膜移植动物模型,随机数字法分为对照组、空白DDS前房植入组、环孢素A(CsA)DDS前房植入组(含CsA 1mg)、0.1%FK506眼液滴眼组及FK506 DDS前房植入组(含FK5060.5mg)。角膜移植术后观察各组角膜植片排斥发生的时间,移植术后1周取各组实验兔眼房水和静脉血进行FK506药物浓度检测。0.1%FKS06眼液滴眼组和FKS06 DDS前房植入组在移植术后的不同时间点抽取实验兔眼房水和静脉血,进行FK506药物浓度的检测。观察各组兔移植术后4周和观察期结束时角膜植片的病理变化,同时应用原位杂交的方法检测各组角膜植片内白细胞介素2受体a(IL-2Bot)、单核细胞趋化蛋白1(MCP-1)、Fas及FasL mRNA的表达。结果FK506 DDS前房植入组角膜植片存活时间超过180d,明显优于其他各组(F=926.37,P=0.0000),其房水和角膜组织中的FK506药物浓度明显高于FKS06眼液滴眼组(T=21.00,P=0.0022)。FKS06 DDS前房植入组在术后24周内均能在房水中检测出FK506。术后4周对照组和空白DDS前房植入组有大量的炎性细胞浸润,并有明显的IL.2Bet和MCP-1mRNA的表达,而CsADDS前房植入组、FK506眼液滴眼组及FK506 DDS植入组角膜未见明显的炎性细胞浸润,未见IL-2Pux和MCP-1mRNA的表达。各组均未见明显的Fas和FasL mRNA的表达。结论前房植入FK506 DDS可有效地抑制高危角膜移植术后免疫排斥反应的发生,房水中较高的FK506药物浓度是防治术后发生免疫排斥反应的重要因素。  相似文献   

9.
目的观察氟碳液体全氟三丁胺对兔眼组织(主要是视网膜)的影响.方法全氟三丁胺分别注入兔眼前房、玻璃体腔内,术后行裂隙灯、眼底镜检查及组织病理学检查.结果全氟三丁胺注入兔眼前房,玻璃体腔后早期引起极轻微炎症反应.2wk左右全氟三丁胺出现分散乳化.组织病理学检查:术后4 wk,前房组,下方与氟碳液体接触的角膜内皮细胞水肿,六角形边界不清;玻璃体组,视网膜表面出现吞噬细胞(泡沫细胞),下方与氟碳液体接触的视网膜外丛状层变窄,光感受细胞外节破坏,色素上皮细胞层内亦有泡沫细胞形成.结论全氟三丁胺不适宜作长期玻璃体替代.  相似文献   

10.
LASIK对角膜内皮细胞的影响   总被引:4,自引:1,他引:3  
目的:研究激光角膜原住磨镶术(LASIK)前后国人角膜内皮细胞密度和形态的改变,方法:选择无配戴接触镜史的-6.00~-26.00D(-11.89±4.58D)高度近视患眼利眼进行LASIK治疗,按照角膜切削面距离角膜内皮层厚度分为两组,组1:28眼为200~250μm,组2:13眼为251~300μ,各组患眼于术前和术后第3、10天、1、3个月观察和分析角膜内皮的细胞密度、变异系数和六角形细胞百分比,结果:①各级术前、术后的角膜内皮细胞密度、变异系数或六角形细胞百分比差异均无显著性意义(P>0.05);②角膜内皮细胞密度、变异系数或六角形细胞百分比的改变与切削面距离内皮层厚度不存在统计学的相关性,结论:激光角膜原位磨镶术不引起中央部角膜内皮细胞密度和形态的改变,是矫正高度近视一种安全的屈光手术,对于以切削后切削面距离角膜内皮层厚度200μum作为安全性的指标尚需作进一步的论证。  相似文献   

11.
Purpose: To study the effects of perfluorodecalin on the cornea of the rabbit eyes. Methods: Perfluorodecalin (0.05 ml/each) was injected into the anterior chambers of eighteen rabbit eyes. Corneal morphology and endothelial cells were monitored clinically by slit-lamp biomicroscope and specular microscope for 26 weeks. Animals were sacrificed in 1st, 2nd, 4th, 10th, 16th, 22nd, and 26th week after injection, respectively,and the corneas were examined under the light microscope. Results: Perfluorodecalin droplets looking like "fish eggs" were found at about 1/4 ~1/2 of the corneal height in the inferior anterior chamber. Corneal opacification on the area contacted with perfluorodecalin was observed in five eyes five weeks after injection,and all in the 22nd week. Mutton fat KPs in one eye were seen in the 6th week firstly, and in all eyes in the 7th week. Corneal pannus formation in one eye was present in the 4th week, two eyes in the 5th week and three eyes in the 6th week. Retrocomeal fibrous membrane in one eye was detected at the 6th week and 3 eyes at the 7th week respectively.After injection of perfluorodecalin, endothelial cell density was sighificantly decreased (2789 + 192 vs. 2 341 +658, P < 0.01) and corneal thickness was increased. Conclusions: Perfluorodecalin injected into anterior chamber can lead to corneal damage and inflammatory reaction. Eye Sciemce 2001; 17:16 ~ 20.  相似文献   

12.
Exoerimental Study on the Effect of Perfluorodecalin on Rabbit Corneas   总被引:1,自引:0,他引:1  
Purpose: To study the effects of perfluorodecalin on the cornea of the rabbit eyes. Methods: Perfluorodecalin (0. 05 ml/each) was injected into the anterior chambers of eighteen rabbit eyes. Corneal morphology and endothelial cells were monitored clinically by slit-lamp biomicroscope and specular microscope for 26 weeks. Animals were sacrificed in 1st, 2nd, 4th, 10th, 16th, 22nd, and 26th week after injection, respectively, and the corneas were examined under the light microscope.Results: Perfluorodecalin droplets looking like "fish eggs" were found at about 1 /4 ~ 1/2 of the corneal height in the inferior anterior chamber. Corneal opacification on the area contacted with perfluorodecalin was observed in five eyes five weeks after injection, and all in the 22nd week. Mutton fat KPs in one eye were seen in the 6th week firstly, and in all eyes in the 7th week. Corneal pannus formation in one eye was present in the 4th week, two eyes in the 5th week and three eyes in the 6th week. Retrocorneal fibrous me  相似文献   

13.
兔眼人工晶状体植入的动态观察   总被引:1,自引:0,他引:1  
Objective To observe the developmental changes ofintraocular lense (IOL) implantion in rabbits eyes for 180 days, Methods Five eyes were performed phacocmulsification and 15 eyes done phacoemulstficaltion with IOL implantation in 10 rabbits(20 eyes).All of the eye8 were examined with alitlamp microscope at the 7th, 15th,30th,60th,90th, 120th, 150th, 180th day postoperatively. Results The postoperative response included corneal edema, anterior chamber response,posterior capsule opacification,locatton and surface changes of IOL,the abnormality of pupil and iris, At the 7th day postoperatively,2 eyes appeared corneal edema and anterior chamber exndation became prominent in all of the eyes, Posterior capsule opacification occurred at the 15th day postol〉 eratively. The granular material detosited on the IOL surface in 1 eye at the 30th day postoperatively. The dislocation of the IOL occurred in 50% eyes with IOL implantation. The most severe complication was sderal staphyloma in 1 eye with IOL implantation. The postopexative response was light in eyes without IOL implantation. Conclusion The experimental results may be taken as reference in future animal study. [ Rec Adv Ophthalmol 2007;27(2) :96-98]  相似文献   

14.
目的:探讨小切口非超声乳化白内障手术中巩膜切口缝合两针与不缝合的疗效差异。

方法:对420例477眼白内障患者行小切口非超声乳化联合后房型人工晶状体植入术,一字形巩膜隧道切口大小为6~7mm,植入直径5.5mm硬性人工晶状体,切口对称缝合两针者205例230眼(A组),不缝合者215例247眼(B组),术后2d; 3mo观察术眼视力和角膜散光。

结果:术后2d,A、B二组裸眼视力或球镜矫正视力≥0.5者分别为193眼(83.9%)和190眼(76.9%),术后3mo,A、B二组裸眼视力或球镜矫正视力≥0.5者分别为205眼(89.1%)和198眼(80.2%),两组病例不同时期视力差异均有统计学意义(P<0.05); 术后2d; 3mo,A组的平均角膜散光分别为1.53±0.59,1.05±0.43D,B组平均角膜散光分别为1.85±0.97,1.31±0.65D,两组病例术后不同时间平均角膜散光度差异均有统计学意义(P<0.01); A组病例术后无出现切口渗漏、浅前房、虹膜膨出的并发症,B组病例术后有3眼(1.21%)出现切口轻度渗漏、前房稍浅,4眼(1.62%)术后第1d出现上方虹膜膨出并嵌顿于巩膜切口。

结论:小切口非超声乳化白内障手术巩膜切口缝合两针者较不缝合者术后视力好,角膜散光小,手术更安全。  相似文献   


15.
The effect of povidone iodine on the corneal endothelium   总被引:3,自引:0,他引:3  
PURPOSE: Povidone iodine has been proven to be a valuable antiseptic solution in preparing the eye for surgery and is an alternative to postoperative topical antibiotics. No study has addressed the intraocular toxicity of povidone iodine after injection into the anterior chamber. We investigated the potential toxicity of povidone iodine on the corneal endothelium after injections into the anterior chamber in a rabbit model. METHODS: In this study we used 24 eyes of 12 albino rabbits. The eyes were divided into the following three groups according to the drugs tested: group A, 5% povidone iodine; group B, 10% povidone iodine; group C, balanced salt solution. The injected eyes were evaluated by biomicroscopy, specular microscopy, corneal pachymetry, and transmission and scanning electron microscopy. RESULTS: Corneal edema was observed in all eyes of groups A and B. In groups A and C, the endothelial cell morphology was not significantly changed and the mean endothelial cell count of the eyes did not change significantly (p = 0.5054). There was no significant difference in corneal thickness between groups A and C (p = 0.3823), but there was a significant difference between groups B and C ( = 0.0002). Transmission and scanning electron microscopy results were normal in group C but not in groups A and B. CONCLUSION: Povidone iodine in both 5% and 10% concentrations demonstrates severe toxicity when one drop of either concentration is placed directly in the anterior chamber. When povidone iodine is used in preparing the eye for intraocular surgery and as an alternative to postoperative antibiotics, the inadvertent leakage of povidone iodine into the anterior chamber must definitely be prevented.  相似文献   

16.
目的利用后弹力层撕除术建立一种新的角膜内皮失代偿模型以便更好地了解该手术的组织反应。方法根据手术方法的不同将40只新西兰成年兔平均分为4组:角膜内皮刮除组、后弹力层撕除组、后弹力层撕除角膜内皮移植术(DSEK)组及DSEK供体组;右眼为手术眼。每组定期通过角膜内皮活体染色,眼前节照相和UBM至少观察2个月。结果后弹力层撕除组角膜始终保持混浊,角膜内皮刮除组和DSEK组角膜逐渐透明,角膜厚度逐渐降低。活体染色显示角膜后弹力层撕除组术后2个月仍无角膜内皮生长。结论后弹力层撕除术建立的角膜内皮失代偿模型显示了后弹力层撕除后角膜内皮愈合过程,可用于角膜内皮移植的研究。  相似文献   

17.
Corneal endothelial proliferation over the iris was studied on experimental anterior synechiae in rabbits up to 6 months. Clinico-pathologic studies of 102 post-keratoplasty eyes revealed that only 4 out of 51 anterior synechiae were endothelialized. In contrast all 10 leukomatous+ adhesions found in a series of 132 eyes removed after perforating corneal trauma were endothelialized. The above studies suggest that the most important factor for endothelial proliferation is the availability of suitable substrate. The rate of growth depends on growth factors present in anterior chamber.  相似文献   

18.
背景 真菌性角膜溃疡是一种严重威胁视力的炎症性疾病,严重者需行角膜移植术或眼球摘除术.角膜交联术(CXL)是近年来治疗一些角膜疾病的有效方法,但其用于真菌性角膜溃疡的疗效方面少有研究.目的 观察CXL对真菌性角膜溃疡的治疗作用和效果.方法 选取8周龄健康新西兰白兔15只,其中5只作为正常对照组,另取10只兔刮除右侧角膜上皮行角膜划痕,涂抹镰刀菌液,然后行异种脱细胞角膜片覆盖,制备真菌性角膜溃疡动物模型.按照随机数字表法将模型兔随机分为非治疗组和CXL治疗组,每日行裂隙灯显微镜检查,测量角膜病灶的直径,并观察角膜水肿和炎性细胞浸润情况.于CXL治疗后第3、7、14、21、28天分别对非治疗组和CXL治疗组兔眼行眼前节照相和激光扫描共焦显微镜检查.治疗后4周,收集15只实验兔角膜组织,于扫描电子显微镜下检测正常对照组、非治疗组和CXL治疗组角膜胶原纤维的超微结构.结果 实验兔右眼造模后3d即可见角膜病灶区灰白色溃疡灶,激光扫描共焦显微镜下浅基质层局部见豆荚样菌丝.造模后l周角膜溃疡灶加深,范围扩大,激光扫描共焦显微镜下浅基质层见大量真菌孢子和短棒样菌丝,可见角膜内皮细胞层有炎性细胞及前房内渗出.CXL治疗后3、7、14、21 d,CXL治疗组兔角膜上皮缺失范围均小于非治疗组,差异均有统计学意义(P<0.05).治疗后28 d,正常对照组、非治疗组和CXL治疗组兔角膜胶原纤维束平均直径分别为(24.6±1.8)、(24.9±1.9)和(43.0±7.4)nm,3个组间差异有统计学意义(F=27.05,P=0.00),其中CXL治疗组胶原纤维直径较非治疗组和正常对照组增粗,差异均有统计学意义(t =-5.30、5.40,P<0.05),胶原纤维间见较多成纤维细胞;而非治疗组兔角膜胶原纤维直径与正常对照组间差异无统计学意义(t=0.25,P>0.05),正常对照组胶原纤维间少见成纤?  相似文献   

19.
PURPOSE: To evaluate the effect of scleral buckling surgery on corneal topography, corneal thickness, and anterior chamber depth. METHODS: Thirty-two eyes of 32 patients who underwent encircling buckling surgery for rhegmatogenous retinal detachment were included in the study. Fellow eyes comprised the control group. Orbscan II topography system was used to determine the changes in corneal topography, corneal thickness, and anterior chamber depth before surgery and 1 week, 1 month, and 3 months after surgery. Statistical analyses used in the study were independent t test, paired t test, one way analysis of variance, and correlation analyses. RESULTS: Postoperatively, mean central corneal astigmatism at 1 week, 1 month, and 3 months was 4.3 +/- 2.0 diopters (D), 3.3 +/- 1.6 D, and 3.1 +/- 1.0 D, respectively. The change between 1 week and 3 months was statistically significant. Central cornea was thickened at the first postoperative week. The thickness gradually decreased to the preoperative levels at 3 months. Anterior chamber depth decreased, and the anterior chamber remained shallow after the surgery. The comparison between preoperative (2.94 +/- 0.6 mm) and postoperative anterior chamber depth was statistically significant at 1 week (2.57 +/- 0.7 mm), 1 month (2.83 +/- 0.7 mm), and 3 months (2.73 +/- 0.6 mm). CONCLUSIONS: Corneal changes after scleral buckling surgery were mild to moderate and the cornea almost resumed its preoperative parameters in 3 months' time. However, the anterior chamber remained shallow during 3 months of follow-up.  相似文献   

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