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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.

DOI:10.1097/ICO.0b013e318201255a
PMID:21242783
Abstract

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.

摘要

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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