三联手术-角膜病变白内障的首选方法

Ljerka Henč-Petrinović, Nikica Gabrič, Mladen Bušič, Iva Dekaris, Jelena Petrinović-Dorešič
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引用次数: 1

摘要

目的:采用“三联手术”(白内障囊外摘除术、后房型晶状体植入术和部分穿孔角膜移植术)联合治疗角膜病理一致的白内障眼视力恢复。在复杂的病例中进行了额外的手术(关节溶解,小梁切除术,瞳孔成形术)。患者:对31例32眼白内障患者(双眼1例)不同角膜病理的术后结果进行前瞻性分析。主要观察指标:并发症发生率、术后最佳矫正视力,随访3 ~ 6个月。结果:后囊膜纤维化(14%)、黄斑囊样水肿(7%)、移植物排斥反应(6%)及其他并发症(9%)为晚期并发症。术后随访3个月后,51%的患者视力≥0.4,随访6个月后,81%的患者视力≥0.4。2只眼角膜血管形成较强,移植物受损,提示角膜移植。结论:“三联手术”是治疗伴有角膜病变的白内障的首选方法。其他手术(关节溶解术、小梁切除术、瞳孔成形术)有助于解决复杂病例。
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Triple Procedure—Method of Choice for Cataractous Eyes with Corneal Pathology

Objectives: Combined method of surgery — ‘triple procedure’ (extracapsular cataract extraction, posterior chamber lens implantation and partial perforative keratoplasty) was used to restore visual functions of cataractous eyes with coincident corneal pathology. Additional surgeries (synechiolysis, trabeculectomy, pupiloplasty) were done in complicated cases. Patients: Postoperative results in 32 cataractous eyes of 31 patients (1 binocular case) having different kinds of corneal pathology were prospectively analysed. Main Outcome Measures: Complication rate, best corrected postoperative visual acuity after 3/6 months follow-up period. Results: Posterior capsular fibrosis (14%) cystoid macular oedema (7%), graft rejection (6%) and other complications (9%) were late complications. Postoperative visual acuity ≥ 0.4 was achieved in 51% after 3, and in 81% of patients after 6 months of postoperative follow-up. Strong corneal vascularization in 2 eyes compromised the graft, indicating rekeratoplasty. Conclusion: We find ‘triple procedure’ to be the method of choice for treatment of cataractous eye with associated corneal pathology. Additional surgeries (synechiolysis, trabeculectomy, pupiloplasty) help to solve complicated cases.

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Subject Index Author Index Editorial Scleral Fixation Re-examined by Ultrasound Biomicroscopy Corneal Topography using a New Moiré Image-based System
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