眼科新进展2018，Vol.38Issue(4)：344-347,4.DOI:10.13389/j.cnki.rao.2018.0080
穿透性角膜移植联合白内障摘出及人工晶状体植入术疗效观察
Clinical observation of a triple procedure of stimultaneous penetrating keratoplasty combined with extracapsular cataract extraction and intraocular lens implantation
摘要
Abstract
Objective To evaluate the operative outcomes of a triple procedure including simultaneous penetration keratoplasty (PKP),extracapsular cataract extraction (ECCE) and intraocular lens (IOL) implantation,and to investigate the relationship between postoperative corneal refractive power and preoperative lens diopter.Methods This retrospective analysis study involved 15 patients who had undergone a triple procedure surgery in Beijing You'an hospital from April to October 2016.Outcomes including the best corrected visual acuity (BCVA),intraocular pressure (IOP),corneal refractive power,axial length,postoperative complications,corneal endothelial cell counts and the survival of corneal graft were determined one year after surgery.Results All corneal grafts were transparent and corneal endothelium were (1974.20 ±472.82) cell · mm-2.The mean postoperative LogMAR visual acuity (0.80 ±0.27) had a significant improvement compared with the mean preoperative LogMAR visual acuity (2.63 ±0.62) (t =13.042,P ＜0.001).There were no statistically significant differences in preoperative IOP (15.27 ± 2.37) mmHg (1 kPa =7.5 mmHg) and postoperative data (14.53 ± 3.04) mmHg (t =0.685,P =0.505),preoperative axial length (23.69 ±2.01) mm and postoperative data (23.62 ±2.12)mm (t =-0.138,P=0.893)and preoperative keratometry (45.01 ± 1.66) D of the control eye and postoperative data (42.56 ± 5.48) D (t =1.202,P =0.260).The postoperative spherical equivalent refractive was (0.40 ±4.65) D,and the target refraction was (0.58 ±0.25)D.Conclusion The triple procedures are safe and effective for the treatment of patients with coexisting corneal pathologies and cataracts.Selection of emmetropia lens diopter may result in the satisfactory postoperative visual acuity.However,unpredictable postoperative corneal curvature changes will still affect the final refractive state.关键词
穿透性角膜移植术/白内障囊外摘除术/三联手术Key words
penetrating keratoplasty/extracapsular cataract extraction/triple procedure分类
医药卫生引用本文复制引用
李上,臧云晓,张薇,董宏伟,郭纯刚,卢红双,潘志强,接英..穿透性角膜移植联合白内障摘出及人工晶状体植入术疗效观察[J].眼科新进展,2018,38(4):344-347,4.基金项目
国家自然科学基金资助(编号:81170824) （编号:81170824）
北京市自然科学基金资助(编号:7182037) （编号:7182037）
卫生系统高层次卫生技术人才培养计划课题基金资助(编号:2013-3-055)National Natural Science Foundation of China (No:81170824) （编号:2013-3-055）
Beijing Natural Science Foundation (No:7182037) （No:7182037）
Healthcare System High Level Professional Cultivating Program(No:2013-3-055) （No:2013-3-055）
