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目的:观察在应用人工角膜下行玻璃体视网膜手术联合穿透性角膜移植手术患者的手术适应症以及临床疗效,探讨影响手术成功的因素。方法:回顾总结我院18例从1996年12月至2005年6月行玻璃体视网膜手术联合穿透性角膜移植病人,分析病因,手术适应症,前后节功能恢复以及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只眼;0.1~0.3者4眼,0.5者1眼;视力与术前无变化者5眼,10只眼角膜植片透明,2只眼再次做角膜移植手术,6只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,但为患者脱盲做出了贡献。
Objective: To observe the surgical indications and clinical effects in patients undergoing corneal vitreoretinal surgery combined with penetrating keratoplasty, and to explore the factors influencing the success of surgery. Methods: 18 cases of our hospital from December 1996 to June 2005 were performed vitreoretinal surgery combined with penetrating keratoplasty patients, analysis of etiology, surgical indications, functional recovery before and after the Festival and complications such as surgical complications. 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, 0.5 eyes with 1 eyes, 5 eyes with no change and 5 corneas Transparent, 2 eyes corneal transplant surgery again, corneal graft edema, opacity in 6 eyes, of which 3 eyes corneal rejection, 3 eyes corneal endothelial decompensation. CONCLUSIONS: Although visual function recovery from combined surgery is limited, it contributes to patient literacy.