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虹膜角膜内皮综合征的后弹力层剥除联合内皮角膜移植术

Descemet's stripping with endothelial keratoplasty in iridocorneal endothelial syndrome.

作者信息

Bahar Irit, Kaiserman Igor, Buys Yvonne, Rootman David

机构信息

Ophthalmology Department, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.

出版信息

Ophthalmic Surg Lasers Imaging. 2008 Jan-Feb;39(1):54-6. doi: 10.3928/15428877-20080101-01.

Abstract

An interventional case is described to report on the clinical outcome of Descemet's stripping automated endothelial keratoplasty performed for iridocorneal endothelial syndrome. A Descemet's stripping automated endothelial keratoplasty was performed in the eye of a 53-year-old woman with decompensated cornea secondary to iridocorneal endothelial syndrome. The transplant and the angle were evaluated with optical coherence tomography. Within 10 months postoperatively, the graft was clear and best-corrected visual acuity improved from 20/400 to 20/30. Descemet's stripping automated endothelial keratoplasty appears to be an effective measure to treat corneal decompensation, improve vision, and facilitate the examination of the optic disc and retina in patients with iridocorneal endothelial syndrome.

摘要

本文描述了一例介入性病例,报告了针对虹膜角膜内皮综合征进行的后弹力层剥除自动内皮角膜移植术的临床结果。对一名53岁因虹膜角膜内皮综合征继发角膜失代偿的女性患者实施了后弹力层剥除自动内皮角膜移植术。通过光学相干断层扫描对移植片和房角进行评估。术后10个月内,移植片保持透明,最佳矫正视力从20/400提高到20/30。后弹力层剥除自动内皮角膜移植术似乎是治疗虹膜角膜内皮综合征患者角膜失代偿、改善视力并便于检查视盘和视网膜的有效措施。

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