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目的 为提高手术成功率、减少并发症 ,对无前房复杂性穿透性角膜移植手术的方法和技巧进行改革。方法 14例 (14眼 )无前房的穿透性角膜移植手术 ,术中采用了制作球结膜瓣和巩膜瓣以利引流的方法 ,并在分离虹膜前后粘连形成前房及白内障摘出和同期人工晶状体植入的方法上进行了改良。结果 随访 6～ 12个月 ,其中 12眼植片透明 ,2眼半透明 ,取得了满意效果。结论 探讨了改进手术方法的解剖生理依据 ,证明了此方法在临床上的实际使用价值。
Objective To improve the success rate of surgery and reduce the complications of anterior chamber complex penetrating keratoplasty methods and techniques for reform. Methods Fourteen cases (14 eyes) had no anterior chamber penetrating keratoplasty. The methods of making the conjunctival flap and the sclera flap to facilitate drainage were established during operation. The anterior chamber and the cataract were removed before and after the separation of iris The method of lens implantation has been improved. Results The follow-up ranged from 6 to 12 months. Among them, 12 eyes were transparent and 2 eyes were semitransparent. Satisfactory results were obtained. Conclusion The anatomic and physiological basis of the improved surgical method is discussed, and the practical value of this method in clinical practice is proved.