Claes C, Worst J, Zivojnovic R
Department of Ophthalmology, A.Z. Middelheim, Antwerp, Belgium.
Bull Soc Belge Ophtalmol. 1992;243:167-9.
Retinal detachment is an eye with a keratoprosthesis usually has an extreme poor prognosis. We describe the successful repair of a total retinal detachment following implantation of a new type Worst-keratoprosthesis in the only eye of a 70-year-old patient. A vitrectomy, epiretinal peeling, 180 degrees superior retinotomy, subretinal membrane peeling and an injection of perfluorooctane were performed to flatten the retina. After the endophotocoagulation a perfluorooctane-silicone oil exchange was performed. An additional intervention was necessary to treat a redetachment. After 3 months follow-up the retina has remained attached and the patient regained ambulatory vision.
通常，患有角膜移植片的眼睛发生视网膜脱离预后极差。我们描述了一位70岁患者仅有的一只眼睛植入新型沃斯特角膜移植片后全视网膜脱离的成功修复。进行了玻璃体切除术、视网膜前膜剥离、180度上方视网膜切开术、视网膜下膜剥离以及全氟辛烷注射以使视网膜变平。眼内光凝后进行了全氟辛烷-硅油置换。为治疗再次脱离还需要额外的干预措施。经过3个月的随访，视网膜保持附着，患者恢复了可走动状态下的视力。
