Ghaffariyeh Alireza, Honarpisheh Nazafarin, Chamacham Tooraj
Department of Ophthalmology, Dr. Khodadoust Eye Hospital, Shiraz, Iran.
Middle East Afr J Ophthalmol. 2011 Apr;18(2):189-91. doi: 10.4103/0974-9233.80712.
In this report, we present an alternative technique to manage Descemet's membrane detachment (DMD). We call the technique supra-Descemet's fluid drainage with intracameral air injection. Under topical anesthesia, we injected air through the stab incision to fill 2/3 of the anterior chamber. Then we inserted the tip of a curved 10/0 needle through the corneal surface (entry angle at 45 degrees) into the supra-Descemet's area 3 times to drain this fluid. In our method, we neither injected expanding gas or viscoelastic nor used a suture. Consequently, there was little chance for suture-induced astigmatism or increased intraocular pressure. This technique may be considered a relatively safe and simple surgical method for the management of postoperative DMD.
在本报告中，我们介绍了一种处理后弹力层脱离（DMD）的替代技术。我们将该技术称为前房内注入空气的后弹力层上液体引流术。在表面麻醉下，我们通过穿刺切口注入空气以填充前房的2/3。然后，我们将一根弯曲的10/0针的针尖经角膜表面（进针角度为45度）插入后弹力层上区域3次以引流该液体。在我们的方法中，既不注入膨胀性气体或粘弹性物质，也不使用缝线。因此，由缝线引起散光或眼压升高的可能性很小。该技术可被认为是一种用于处理术后DMD的相对安全且简单的手术方法。
