作者首次报道1例白内障摘出术和后房型人工晶体植入术合并穿透性角膜移植术(3项联合手术)后,因手术显微镜的强光导致黄斑部损伤。患者男性65岁,左眼因角膜瘢痕和白内障作上述3项联合手术获得成功。术后6周,虽移植片透明,但最佳矫正视力为20/200。眼底检查发现左眼底后极部有2片卵圆形苍白色病灶,直径约3个视盘大小,位于黄斑附近。病 The authors first reported 1 case of cataract extraction and posterior chamber intraocular lens implantation combined with penetrating keratoplasty (3 joint surgery), due to the strong light microscope surgery led to macular damage. The patient, male, was 65 years old. The left eye was successfully treated with the above three combined procedures for corneal scarring and cataracts. At 6 weeks after operation, although the transplanted plate was transparent, the best corrected visual acuity was 20/200. Fundus examination revealed that the posterior pole of the left fundus has 2 oval pale lesions, a diameter of about 3 optic disc sizes, located near the macula. disease