Osman Essam A
Glaucoma Division, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia.
Int Ophthalmol. 2011 Aug;31(4):345-8. doi: 10.1007/s10792-011-9462-8. Epub 2011 Aug 20.
The purpose of this study is to report the importance of ultrasound biomicroscopy (UBM) in the diagnosis of Descemet's membrane detachment (DMD) and the efficacy of sulfur hexafluoride (SF6) gas in its management. DMD was identified by UBM in a 22-year-old woman with juvenile glaucoma who underwent deep sclerectomy surgery and developed severe corneal oedema postoperatively. SF6 gas 15% was injected into the anterior chamber. The procedure resulted in reattachment of Descemet's membrane and a completely clear cornea. DMD can be easily overlooked or misdiagnosed after non-penetrating glaucoma surgery. UBM is helpful in diagnosis and management of DMD and descemetopexy with SF6 gas can give good results.
本研究的目的是报告超声生物显微镜（UBM）在诊断后弹力层脱离（DMD）中的重要性以及六氟化硫（SF6）气体在其治疗中的疗效。一名22岁患有青少年型青光眼的女性在接受深层巩膜切除术并术后出现严重角膜水肿后，通过UBM确诊为DMD。向前房注入15%的SF6气体。该操作使后弹力层重新附着，角膜完全恢复透明。非穿透性青光眼手术后，DMD很容易被忽视或误诊。UBM有助于DMD的诊断和治疗，使用SF6气体进行后弹力层固定术可取得良好效果。
