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玻璃体切除术治疗穿透性角膜移植术后非感染性玻璃体视网膜疾病的疗效分析

吕乐雨 田景毅 秦莉盈 王超 原公强 吕云鹏

临床眼科杂志2026,Vol.34Issue(4):318-321,4.
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临床眼科杂志2026,Vol.34Issue(4):318-321,4.DOI:10.3969/j.issn.1006-8422.2026.04.006

玻璃体切除术治疗穿透性角膜移植术后非感染性玻璃体视网膜疾病的疗效分析

Analysis of the surgical efficacy of vitrectomy in the treatment of noninfectious vitreoretinal diseases in eyes following penetrating keratoplasty

吕乐雨 1田景毅 1秦莉盈 1王超 1原公强 1吕云鹏2

作者信息

  • 1. 250021 山东济南,山东第一医科大学附属眼科研究所山东省眼科医院山东第一医科大学眼科学院
  • 2. 750000 宁夏银川,宁夏医科大学
  • 折叠

摘要

Abstract

Objective To analyze the surgical efficacy of vitrectomy in the treatment of noninfectious vitreoreti-nal diseases in eyes following penetrating keratoplasty.Methods A prospective case series study.Eight patients(8 eyes)who underwent vitrectomy for noninfectious vitreoretinal diseases after penetrating keratoplasty at the Eye Hospital of Shan-dong First Medical University(Shandong Eye Hospital)from January 2022 to December 2024 were enrolled.Follow-up for 6 months was after the operation.Data including the best-corrected visual acuity(BCVA),intraocular pressure(IOP),cor-neal endothelial cell density and corneal/corneal graft transparency and the retinal reattachment were recorded and ana-lyzed before and after the surgery.Results The mean preoperative BCVA was(2.03±1.25)logMAR,which improved to(1.35±0.96)logMAR postoperatively(P<0.05).The mean preoperative IOP was(14.5±3.35)mmHg,compared to(15.6±2.45)mmHg postoperatively,showing no significant change(P>0.05).The mean preoperative corneal endothelial cell den-sity was(1 347.00±684.26)cells/mm2,while the postoperative value was(1 240.63±652.38)cells/mm2,indicating no sig-nificant difference(P>0.05).Corneal grafts had good transparency and the retinal reattachment rate was 100%.Conclu-sions Vitrectomy improves visual acuity in eyes after penetrating keratoplasty and demonstrates good surgical safety with-out significant endothelial damage.

关键词

玻璃体切除术/穿透性角膜移植术/手术疗效/角膜内皮细胞

Key words

Vitrectomy/Penetrating keratoplasty/Surgical efficacy/Corneal endothelial cells

引用本文复制引用

吕乐雨,田景毅,秦莉盈,王超,原公强,吕云鹏..玻璃体切除术治疗穿透性角膜移植术后非感染性玻璃体视网膜疾病的疗效分析[J].临床眼科杂志,2026,34(4):318-321,4.

临床眼科杂志

1006-8422

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