在Descemet膜剥脱内皮角膜移植术后引流界面液的裂隙灯技术
Slit-lamp technique of draining interface fluid following Descemet's stripping endothelial keratoplasty.
作者信息
Srinivasan Sathish, Rootman David S
机构信息
Department of Ophthalmology, Toronto Western Hospital, Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada.
出版信息
Br J Ophthalmol. 2007 Sep;91(9):1202-5. doi: 10.1136/bjo.2007.121012.
AIM
To describe a new slit-lamp technique for draining interface fluid to manage complete donor disc detachments following Descemet's stripping (automated) endothelial keratoplasty (DSEK/DSAEK).
METHODS
Interventional case series. Five DSEK/DSAEK patients presented on the first postoperative day with complete detachment of the donor lenticule. Slit-lamp biomicroscopy showed interface fluid preventing attachment of the donor disc to the host stromal bed. A new slit-lamp technique is described to drain the interface fluid. This technique involved completely filling the anterior chamber with an air bubble using a 30-gauge needle on a 3 ml syringe. Following this, a 0.12 forceps was used to open the inferior mid-peripheral corneal drainage slit to drain the interface fluid.
RESULTS
This technique was successful in draining the interface fluid in all five patients, leading to immediate complete reattachment of the donor disc.
CONCLUSION
Donor disc detachments following DSEK/DSAEK can be successfully managed by this slit-lamp technique of draining the interface fluid.
目的
描述一种新的裂隙灯技术，用于引流界面液体，以处理在Descemet膜剥脱（自动）内皮角膜移植术（DSEK/DSAEK）后出现的供体植片完全脱离情况。
方法
介入性病例系列。5例DSEK/DSAEK患者在术后第一天出现供体晶状体完全脱离。裂隙灯生物显微镜检查显示界面液体阻止了供体植片与宿主基质床的附着。描述了一种新的裂隙灯技术来引流界面液体。该技术包括使用3毫升注射器上的30号针头用气泡完全填充前房。在此之后，用一把0.12的镊子打开角膜下缘中周边引流切口以引流界面液体。
结果
该技术成功地在所有5例患者中引流了界面液体，导致供体植片立即完全重新附着。
结论
DSEK/DSAEK后供体植片脱离可通过这种引流界面液体的裂隙灯技术成功处理。
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