Forooghian Farzin, Assaad David, Dixon William S
Department of Ophthalmology and Vision Sciences, University of Tronto, Tronto, ON.
Can J Ophthalmol. 2006 Feb;41(1):74-7. doi: 10.1016/S0008-4182(06)80071-2.
Hydrops with perforation in the setting of pellucid marginal degeneration is a rare complication that is generally treated surgically. We report the first case of successful nonsurgical management using only a bandage contact lens.
Hydrops with perforation in one eye is a risk factor for a similar event occurring in the other eye. Initial conservative management with a bandage contact lens should be considered to avoid the risk of surgery. After resolution of hydrops, flattening of the cornea and reduced astigmatism is also a potential benefit.
在透明边缘变性情况下伴有穿孔的角膜水肿是一种罕见的并发症，通常采用手术治疗。我们报告首例仅使用绷带式隐形眼镜成功进行非手术治疗的病例。
一只眼睛出现伴有穿孔的角膜水肿是另一只眼睛发生类似情况的危险因素。应考虑先用绷带式隐形眼镜进行初始保守治疗，以避免手术风险。角膜水肿消退后，角膜变平以及散光减少也是潜在的益处。
