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Descemet 撕囊自动化内皮角膜移植术后排斥反应中后 khodadoust 线。

A posterior khodadoust line in a graft rejection episode after descemet stripping automated endothelial keratoplasty.

机构信息

Department of Ophthalmology, University Hospital Rotterdam, Rotterdam, The Netherlands.

出版信息

Cornea. 2011 Feb;30(2):245-6. doi: 10.1097/ICO.0b013e3181ec9080.

Abstract

PURPOSE

To describe the presence of an endothelial rejection line in immunological graft rejection after Descemet stripping automated endothelial keratoplasty (DSAEK).

METHODS

Case report.

RESULTS

A 77-year-old woman underwent DSAEK procedure of the left eye because of visual limiting bullous keratopathy. One week postoperatively, the donor lamella was partially detached and an additional air bubble was injected into the anterior chamber. Thereafter, complete adherence of the lamella was seen. Four months after surgery, vision deteriorated, and a transient immunological graft rejection episode with endothelial rejection line was seen.

CONCLUSIONS

In contrast to other reports, an endothelial rejection line (Khodadoust line) can be seen during the endothelial rejection episode after DSAEK.

摘要

目的

描述在 Descemet 撕囊自动化内皮角膜移植术(DSAEK)后免疫性移植物排斥中内皮排斥线的存在。

方法

病例报告。

结果

一名 77 岁女性因视力受限的大疱性角膜病变而行左眼 DSAEK 手术。术后 1 周,供体层部分脱离,并在前房内注入额外的气泡。此后,可见供体层完全贴合。术后 4 个月,视力下降,并出现短暂的免疫性移植物排斥伴内皮排斥线。

结论

与其他报道不同,在 DSAEK 后内皮排斥期间可以看到内皮排斥线(Khodadoust 线)。

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