眼前段黏弹剂辅助切口修改在深层板层角膜移植术中的大泡技术。

Ophthalmic viscosurgical device-assisted incision modification for the big-bubble technique in deep anterior lamellar keratoplasty.

机构信息

Devers Eye Institute, Portland, Oregon 97210, USA.

出版信息

J Cataract Refract Surg. 2011 Nov;37(11):1923-7. doi: 10.1016/j.jcrs.2011.09.014.

DOI:10.1016/j.jcrs.2011.09.014

PMID:22018360

Abstract

UNLABELLED

We describe several simple modifications of the big-bubble technique to improve surgeon comfort and reduce the risk for complications, with emphasis on our ophthalmic viscosurgical device (OVD)-assisted incision technique. By coating the overlying stroma with OVD prior to entering the big bubble, space is maintained in the pre-Descemet plane. This prevents collapse of the big bubble and allows an air-OVD exchange. We have successfully used this technique in 72 consecutive cases without a perforation during the entry incision to the bubble space of the DALK procedure.

FINANCIAL DISCLOSURE

No author has a financial or proprietary interest in any material or method mentioned. Additional disclosures are found in the footnotes.

摘要

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我们描述了几种简单的大泡技术改良方法，以提高手术医生的舒适度并降低并发症风险，重点介绍了我们的眼用粘弹剂（OVD）辅助切口技术。在进入大泡之前，将 OVD 涂覆于上方的基质上，在预先形成的Descemet 面下维持空间。这可防止大泡塌陷，并允许进行空气-OVD 交换。我们在 72 例连续手术中成功使用了该技术，在进入 DALK 手术的大泡空间的切口过程中没有发生穿孔。