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Descemet 膜撕除自动角膜内皮移植术后持续性板层界面液伴透明角膜。

Persistent lamellar interface fluid with clear cornea after Descemet stripping automated endothelial keratoplasty.

机构信息

Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

出版信息

Cornea. 2011 Dec;30(12):1485-7. doi: 10.1097/ICO.0b013e3182068974.

DOI:10.1097/ICO.0b013e3182068974
PMID:22089172
Abstract

PURPOSE

To describe clinical properties of a patient with persistent interface fluid syndrome and clear graft, 3.5 years after Descemet stripping automated endothelial keratoplasty (DSAEK).

METHODS

Case report.

RESULTS

A 69-year-old woman who had DSAEK in 2006 presented with a clear cornea (no corneal edema) and deep diffuse reticular haze in the right eye. Visual acuity was 20/40. Ultrahigh-resolution optical coherence tomography (UHR-OCT) imaging of the right eye demonstrated persistent interface fluid at the donor-recipient junction. The detachment between donor and recipient corneas was 70 μm at the center. There was no connection between the anterior chamber and the donor/recipient interface.

CONCLUSIONS

Despite the persistent detachment of the donor cornea, the recipient cornea can remain clear in persistent interface fluid syndrome after DSAEK.

摘要

目的

描述 3.5 年后接受 Descemet 膜撕除自动内界膜角膜内皮移植术(DSAEK)后持续界面液综合征且移植物透明的患者的临床特征。

方法

病例报告。

结果

一位 69 岁女性,2006 年接受 DSAEK 治疗,右眼出现透明角膜(无角膜水肿)和深层弥漫性网状混浊。视力为 20/40。右眼超高分辨率光学相干断层扫描(UHR-OCT)成像显示供体-受体交界处持续存在界面液。在中心,供体和受体角膜之间的分离为 70μm。前房与供体/受体界面之间没有连接。

结论

尽管供体角膜持续分离,但在 DSAEK 后持续界面液综合征中,受体角膜仍可保持透明。

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