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目的 评价应用临时人工角膜进行穿透性角膜移植联合眼后节手术的安全性及治疗效果。方法 对复杂性眼球穿通伤所致角膜混浊同时伴有玻璃体视网膜病变 10例患者 11眼 ,施行临时人工角膜下的经睫状体平坦部的闭合式玻璃体切除、球内异物取出、视网膜复位、硅油充填、穿透性角膜移植等联合手术。结果 术后随访 2～ 14月 ,11眼均得到保留 ,9眼角膜植片透明 ,10眼视网膜复位 ,9眼视力较术前提高。其中 3眼矫正视力≥ 0 1,矫正视力在 0 0 5～ 0 1的 4眼 ,1眼术后再次视网膜脱离 ,1眼角膜混浊并萎缩。结论 应用临时人工角膜进行玻璃体手术联合穿透性角膜移植术是治疗严重眼前后节受伤患者的一种有效手术方法
Objective To evaluate the safety and therapeutic effect of penetrating keratoplasty combined with posterior eye surgery using temporary artificial cornea. Methods Corneal opacification caused by complicated penetrating traumatic eye injury was performed in 11 eyes of 10 patients with vitreoretinopathy. Closure vitreoretinal surgery under temporary artificial corneal flattened portion of ciliary body was performed. Intraocular foreign body removed, retinal reattachment, silicone oil Filling, penetrating keratoplasty and other joint surgery. Results All patients were followed up from 2 to 14 months. Eleven eyes were preserved, 9 eyes were clear corneal graft, 10 eyes retreated, and 9 eyes had higher visual acuity than before surgery. Among them, 3 eyes corrected visual acuity ≥0 1, corrected visual acuity was in 4 eyes of 0 0 5 ~ 0 1, 1 reattachment of retinal detachment, 1 corneal opacity and atrophy. Conclusions The use of temporary artificial cornea for vitreous surgery combined with penetrating keratoplasty is an effective surgical method for the treatment of severe anterior and posterior segment injuries