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目的:观察在临时人工角膜下经扁平部玻璃体视网膜手术联合穿透性角膜移植手术的疗效,探讨影响手术成功的因素。方法:回顾总结我院1996-12/2005-06行玻璃体视网膜手术联合穿透性角膜移植患者手术18例,主要分析病史,前后节功能恢复以及手术和手术并发症等因素。结果:13眼视力较前提高,其中视力在0.05～0.1之间者5眼;0.1～0.3者4眼,0.5者1眼;视力与术前无变化者5眼,10眼角膜植片透明,2眼再次做角膜移植手术,6眼出现角膜植片水肿、混浊,其中3眼为角膜排斥反应,3眼为角膜内皮失代偿。结论:尽管联合手术的视功能恢复是有限的,但至少提高了患者的生活质量。
OBJECTIVE: To observe the efficacy of vitreoretinal surgery combined with penetrating keratoplasty under temporary artificial cornea and to explore the factors influencing the success of surgery. Methods: 18 cases of vitreoretinal surgery combined with penetrating keratoplasty in our hospital from December 1996 to June 2005 were retrospectively reviewed. The main factors including history, functional recovery of anterior and posterior segments and complications of surgery and operation were analyzed. Results: The visual acuity of 13 eyes was higher than that of before eyesight, including 5 eyes with visual acuity between 0.05 and 0.1, 4 eyes with 0.1 ~ 0.3 eyes and 1 eyes with 0.5 eyes. The visual acuity and preoperative no change were 5 eyes and 10 corneal limbs were transparent, 2 eyes corneal transplant surgery again, 6 corneal graft edema, opacity, 3 of which corneal rejection, 3 corneal endothelial decompensation. Conclusion: Although the recovery of visual function in combined surgery is limited, at least patients’ quality of life improves.