摘要角膜内皮移植术(EK)具有损伤小、视力恢复快的优点,已经成为治疗角膜内皮病变的首选术式.然而EK也有其相关的并发症,这些并发症的发生与手术操作、技术熟练程度和处理方式有着密切的关系.EK术后最常见的并发症是植片脱位,尤其在晶状体虹膜隔异常的患者中发生率更高;角膜内皮损伤是此术式的另一并发症,严重者可导致原发性植片内皮功能失代偿;虽然发生率低于穿透角膜移植术,但EK术后若发生排斥反应,其临床表现则有别于其他角膜移植手术.全面了解EK的相关并发症对于认识和了解这种全新的术式十分重要.

abstractsEndothelial keratoplasty(EK)has the advantage of minor surgical injury and fast visual recovery and herein has become the optimal surgical choice for endothelial disorders.It has unique complications closely related to surgical maneuver,skill of operation and proper intervention.The most common complication is graft dislocation,especially in eyes with defect lens-iris diaphragm.The damage of endothelium cells is another characteristic of this surgery.In severe cases,it may lead to primary graft failure.The rejection rate of this surgery is lower than that of penetrating keratoplasty.And its manifestation for rejection is different from other types of keratoplaty.So EK is a new type of surgery and it is necessary to acknowledge and understand its surgical features.