穿透性角膜移植与白内障摘出及人工晶状体植入联合手术

摘要

目的观察1986～1998年行穿透性角膜移植与白内障摘出及人工晶状体植入联合手术的疗效。方法对134例患白内障和部分中央性角膜白斑的患者在施行穿透性角膜移植时，从受植孔中摘出白内障，同时植入人工晶状体。结果对其中120例经0.5～12a的随访，术后角膜移植片透明99例(82.5%)，混浊21例(17.5%)，术后视力提高92例(76.7%)，术眼脱盲89例(74.2%)。结论穿透性角膜移植与白内障摘出及人工晶状体植入治疗角膜白斑和白内障疾病具有视力恢复快、术后并发症发生率低等优点。%Objective　To observe the therapeutic effect of combination of penetrating keratoplasty, cataract extraction and intraocular lenses implantation.Methods　Penetrating keratoplasty was performed simultaneously with cataract extraction and intraocular lenses implantation on 134 cases. Results　One hundred and twenty cases were recorded after following up for 0.5～12 years. Ninety-nine cases (82.5%)of the corneas remained clear. Twenty-one cases (17.5%)of the corneas failed.Ninety-two cases (76.7%)achieved a better visual acuity postoperatively.Eighty-nine eyes(74.2%)were not blind any longer. Conclusion　The combination of penetrating keratoplasty, cataract extraction and intraocular lenses implantation offers advantages of rapid and better rehabilitation of visual acuity with low complication rate.