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人工晶状体眼并发大泡性角膜病变及视网膜脱离时应用临时人工角膜进行眼前后节联合手术
引用本文:贺涛,艾明,邢怡桥,陈彬.人工晶状体眼并发大泡性角膜病变及视网膜脱离时应用临时人工角膜进行眼前后节联合手术[J].眼科新进展,2005,25(2):151-152.
作者姓名:贺涛  艾明  邢怡桥  陈彬
作者单位:430060,湖北武汉,武汉大学人民医院眼科
摘    要:目的探讨在人工晶状体眼合并大泡性角膜病变及视网膜脱离病例中应用临时人工角膜行玻璃体切割联合穿透性角膜移植的临床价值。方法对6例(6眼)人工晶状体眼合并大泡性角膜病变及视网膜脱离患者行临时人工角膜下玻璃体切割联合穿透性角膜移植术。结果6例患者术后视网膜均复位良好,5例角膜植片透明,1例患者视力达0.1.2例患者手术中取出人工晶状体。结论该手术是一种安全、有效的治疗手段,对保留人工晶状体眼合并大泡性角膜病变及视网膜脱离患者的眼球及部分视力起到了积极的作用。

关 键 词:临时人工角膜  玻璃体切割  穿透性角膜移植  大泡性角膜病变  视网膜脱离
文章编号:1003-5141(2005)02-0151-02
修稿时间:2003年12月26

Temporary keratoprosthesis for eyes with bullous keratopathy and retinal detachment after intraocular lens implantation
HE Tao,AI Ming,XING Yi-Qiao,CHEN Bin.Temporary keratoprosthesis for eyes with bullous keratopathy and retinal detachment after intraocular lens implantation[J].Recent Advances in Ophthalmology,2005,25(2):151-152.
Authors:HE Tao  AI Ming  XING Yi-Qiao  CHEN Bin
Institution:HE Tao,AI Ming,XING Yi-Qiao,CHEN BinFrom the Department of Ophthalmology,the People's Hospital of Wuhan University,Wuhan 430060,Hubei Province,China
Abstract:Objective To evaluate the safety and therapeutic effects of the combined surgery.Methods Six patients with bullous keratopathy and retinal detachment after intraocular lens implantation experienced the combined surgery including pars plana vitrectomy and penetrating keratoplasty,and during the combined surgery,we used temporary keratoprosthesis.Results All the retinal detachment recurred,corneal transplants were clear in 5 eyes,1 eye's visual acuity was above 0.1,2 eyes underwent intraocular lens removal.Conclusion The combined surgery is a safe,effective approach.It plays an important role in rescuing eyes and the visual acuity in eyes with bullous keratopathy and retinal detachment after intraocular lens implantation.
Keywords:temporary keratoprosthesis  vitrectomy  penetrating keratoplasty  bullous keratopathy  retinal detachment
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