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Abstract：
UNASSIGNED: To assess the incidence of glaucoma after combined Descemet\'s stripping endothelial keratoplasty (DSEK) and retropupillary fixated iris-claw intraocular lens (IOL) implantation in the patients with bullous keratopathy (BK) who required secondary IOL or IOL exchange.
UNASSIGNED: In this retrospective case series, medical records of 22 patients who underwent combined DSEK and retropupillary fixated iris-claw IOL implantation were evaluated. Preoperative vision, intraocular pressure (IOP), postoperative IOP at different time periods, and intraoperative and postoperative complications were analyzed.
UNASSIGNED: A total of 22 eyes of 22 patients (7 females and 15 males) were analyzed. The median age was 62 years, and the median duration of the postoperative follow-up was 106.5 days. The corrected distance visual acuity improved from a median of 1.85 logMAR to 1.68 logMAR. None of the patients had intraoperative complications. Three patients (13.6%) had dislocation of the donor tissue on the 1st postoperative day and were successfully rebubbled. Six eyes (27.3%) had graft failure and required penetrating keratoplasty. Eleven eyes (50%) had a sustained rise in the IOP, of which 2 (9.09%) had ocular hypertension and 9 eyes (40.9%) progressed to glaucoma.
UNASSIGNED: DSEK combined with retropupillary fixated iris-claw lens is a good surgical option for the management of aphakic/pseudophakic BK in patients who require secondary IOL or IOL exchange. Regular IOP monitoring after the surgery is an essential, as there is a risk of IOP rise and glaucoma in the postoperative period. Clinicians should be vigilant and control the IOP to prevent glaucoma progression.
UNASSIGNED: In this retrospective case series, medical records of 22 patients who underwent combined DSEK and retropupillary fixated iris-claw IOL implantation were evaluated. Preoperative vision, intraocular pressure (IOP), postoperative IOP at different time periods, and intraoperative and postoperative complications were analyzed.
UNASSIGNED: A total of 22 eyes of 22 patients (7 females and 15 males) were analyzed. The median age was 62 years, and the median duration of the postoperative follow-up was 106.5 days. The corrected distance visual acuity improved from a median of 1.85 logMAR to 1.68 logMAR. None of the patients had intraoperative complications. Three patients (13.6%) had dislocation of the donor tissue on the 1st postoperative day and were successfully rebubbled. Six eyes (27.3%) had graft failure and required penetrating keratoplasty. Eleven eyes (50%) had a sustained rise in the IOP, of which 2 (9.09%) had ocular hypertension and 9 eyes (40.9%) progressed to glaucoma.
UNASSIGNED: DSEK combined with retropupillary fixated iris-claw lens is a good surgical option for the management of aphakic/pseudophakic BK in patients who require secondary IOL or IOL exchange. Regular IOP monitoring after the surgery is an essential, as there is a risk of IOP rise and glaucoma in the postoperative period. Clinicians should be vigilant and control the IOP to prevent glaucoma progression.
摘要：
UNASSIGNED：评估需要二次IOL或IOL交换的大疱性角膜病变（BK）患者的Descemet剥脱内皮角膜移植术（DSEK）和瞳孔后固定虹膜爪人工晶状体（IOL）植入术后青光眼的发生率。
未经评估：在本回顾性病例系列中，对22例接受DSEK和瞳孔后固定虹膜爪人工晶状体植入术的患者的病历进行了评估.术前视力,眼内压（IOP），术后不同时间段的眼压，术中及术后并发症进行分析。
UNASSIGNED:共分析了22例患者(7例女性和15例男性)的22只眼。中位年龄为62岁,术后随访的中位时间为106.5天。矫正视力从中位数1.85logMAR提高到1.68logMAR。所有患者均未出现术中并发症。3例患者（13.6%）在术后第1天出现供体组织脱位，成功再起泡。六只眼（27.3％）移植失败，需要穿透性角膜移植术。11只眼睛（50％）的IOP持续升高，其中2例(9.09%)出现高眼压,9例(40.9%)进展为青光眼。
UNASSIGNED：DSEK联合瞳孔后固定虹膜爪晶状体是需要二次IOL或IOL交换的无晶状体/假晶状体BK的良好手术选择。手术后定期监测IOP至关重要，因为术后存在IOP升高和青光眼的风险。临床医生应警惕并控制IOP以防止青光眼进展。
未经评估：在本回顾性病例系列中，对22例接受DSEK和瞳孔后固定虹膜爪人工晶状体植入术的患者的病历进行了评估.术前视力,眼内压（IOP），术后不同时间段的眼压，术中及术后并发症进行分析。
UNASSIGNED:共分析了22例患者(7例女性和15例男性)的22只眼。中位年龄为62岁,术后随访的中位时间为106.5天。矫正视力从中位数1.85logMAR提高到1.68logMAR。所有患者均未出现术中并发症。3例患者（13.6%）在术后第1天出现供体组织脱位，成功再起泡。六只眼（27.3％）移植失败，需要穿透性角膜移植术。11只眼睛（50％）的IOP持续升高，其中2例(9.09%)出现高眼压,9例(40.9%)进展为青光眼。
UNASSIGNED：DSEK联合瞳孔后固定虹膜爪晶状体是需要二次IOL或IOL交换的无晶状体/假晶状体BK的良好手术选择。手术后定期监测IOP至关重要，因为术后存在IOP升高和青光眼的风险。临床医生应警惕并控制IOP以防止青光眼进展。
