Descemet 膜撕除自动化内皮角膜移植术后迟发性大量脉络膜上腔出血。
Delayed massive suprachoroidal hemorrhage after descemet stripping automated endothelial keratoplasty.
机构信息
Department of Ophthalmology, Froedtert and Medical College of Wisconsin, Milwaukee, WI, USA.
出版信息
Cornea. 2011 Jul;30(7):818-9. doi: 10.1097/ICO.0b013e318201255a.
PURPOSE
To report the development of a delayed massive suprachoroidal hemorrhage after Descemet stripping automated endothelial keratoplasty (DSAEK).
DESIGN
Retrospective case report.
RESULTS
A 70-year-old woman with a failed graft for keratoconus underwent DSAEK in the setting of continued systemic anticoagulation. On the first postoperative day, she experienced a massive suprachoroidal hemorrhage. Despite surgical drainage, the donor graft subsequently failed, and vision declined to light perception.
CONCLUSIONS
Massive suprachoroidal hemorrhage may occur as a rare complication of DSAEK.
目的
报告一例在去表皮自动内皮角膜移植术（DSAEK）后发生的迟发性巨大脉络膜上腔出血。
设计
回顾性病例报告。
结果
一名 70 岁女性因圆锥角膜行失败移植而接受 DSAEK 治疗，同时持续进行全身抗凝治疗。术后第一天，她发生了巨大的脉络膜上腔出血。尽管进行了手术引流，但供体移植物随后失败，视力下降至光感。
结论
巨大脉络膜上腔出血可能是 DSAEK 的罕见并发症。
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