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- W3029372565 abstract "目的 探讨白内障合并角膜病者的最佳手术治疗方式.方法 对36例(36眼)白内障与角膜病同时存在并需行穿透性角膜移植及白内障摘出术的患者.Ⅰ组11例角膜白斑或溃疡、穿孔,病变区直径≤5 mm,采用先白内障囊外摘出及人晶状体植入术,半年后再行穿透性角膜移植术.Ⅱ组15例角膜的病变区直径＞5 mm采用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(简称三联术).Ⅲ组10例行穿透性角膜移植,1年后再行门内障囊外摘出及人工晶状体植入术.随访观察时间6～20个月.结果 33例(91.67%)术后裸眼视力比术前有提高,植片成活率Ⅰ、Ⅱ、Ⅲ组分别占100.00%、86.67%和90.00%.最好矫正视力达0.8.Ⅰ、Ⅱ组患者术后屈光度差异大,平均球镜值(4.75±3.15)D,平均散光度(2.89±1.75)D,Ⅱ、Ⅲ组出现角膜内皮失代偿共3例.结论 依据角膜病变情况,采用分次手术或三联术都能很好恢复视功能,分次手术有更高的安全性和治疗效果。" @default.
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- W3029372565 date "2008-08-25" @default.
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- W3029372565 title "Surgical method for keratopathy associated with cataract." @default.
- W3029372565 doi "https://doi.org/10.3760/cma.j.issn.1004-6461.2008.08.005" @default.
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