Department of Ophthalmology, Saint Louis University School of Medicine, St. Louis, MO 63104, USA.
Cornea. 2010 Feb;29(2):217-9. doi: 10.1097/ICO.0b013e3181a16352.
The purpose of this study was to report a case of nondisplacement of an endothelial keratoplasty (EK) lenticule after traumatic rupture of the globe.
The authors conducted a review of the clinical course of a 35-year-old woman who sustained a traumatic rupture of the globe 4 months after Descemet stripping endothelial keratoplasty.
The rupture did not involve the 4-month-old temporal scleral tunnel wound used for the EK. The lenticule was attached despite the injury and remained so in the postoperative course.
Blunt trauma after endothelial keratoplasty can result in the disruption of the operative wound and lenticule dislocation. However, in our case, the rupture site did not involve the surgical wound, and the lenticule remained attached throughout the trauma, the surgical repair of the ruptured globe, and the postinjury course. This case illustrates the potential strength of EK wounds and the strength of adhesion of the transplanted lenticule and poses unanswered questions about the process of wound healing and attachment of donor lenticules in EK cases.
本研究旨在报告一例眼球破裂后内皮角膜移植（EK）移植物无移位的病例。
作者回顾了一位 35 岁女性的临床病程，该患者在 EK 后 4 个月发生了眼球破裂。
破裂未累及 4 个月大的颞侧巩膜隧道伤口，尽管有损伤，但移植物仍保持附着。
EK 后钝挫伤可导致手术伤口和移植物脱位。然而，在我们的病例中，破裂部位未累及手术伤口，移植物在整个创伤、破裂眼球的手术修复和损伤后过程中均保持附着。该病例说明了 EK 伤口的潜在强度和移植移植物的附着强度，并提出了关于 EK 病例中伤口愈合和供体移植物附着过程的未解决问题。
