前房内注射C(3)F(8)治疗深板层角膜移植术后白内障超声乳化吸除术后的Descemet膜脱离
Intracameral C(3)F(8) injection for descemet membrane detachment after phacoemulsification in deep anterior lamellar keratoplasty.
作者信息
Mannan Rashim, Jhanji Vishal, Sharma Namrata, Titiyal Jeewan S, Vajpayee Rasik B
机构信息
Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Cornea. 2007 Jun;26(5):636-8. doi: 10.1097/ICO.0b013e3180415d57.
PURPOSE
To report a case of Descemet membrane detachment (DMD) after cataract surgery in an operated case of deep anterior lamellar keratoplasty (DALK).
METHODS
Phacoemulsification surgery with intraocular lens implantation was performed in the left eye of a 65-year-old woman who had previously undergone DALK. DMD was noted intraoperatively, for which intracameral injection of air was done at the end of surgery. On the first postoperative day, DMD was seen, and hence, intracameral 20% sulfur hexafluoride (SF(6)) gas was injected. Because the DMD did not resolve, intracameral 14% C(3)F(8) gas was injected on the seventh postoperative day.
RESULTS
At the 3-week follow-up, complete resolution of DMD was seen.
CONCLUSIONS
DMD that occurs during phacoemulsification in a case that has previously undergone DALK can be effectively and safely resolved using intracameral C(3)F(8) gas injection.
目的
报告1例在接受过深板层角膜移植术（DALK）的患者白内障手术后发生后弹力层脱离（DMD）的病例。
方法
对一名65岁曾接受DALK手术的女性患者的左眼进行了白内障超声乳化吸除联合人工晶状体植入术。术中发现DMD，手术结束时进行了前房内空气注射。术后第1天仍可见DMD，因此，前房内注射了20%的六氟化硫（SF₆）气体。由于DMD未得到解决，术后第7天在前房内注射了14%的八氟丙烷（C₃F₈）气体。
结果
在3周的随访中，DMD完全消退。
结论
对于曾接受DALK手术的患者，在白内障超声乳化吸除术中发生的DMD，通过前房内注射C₃F₈气体可有效且安全地解决。
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