Freiberg Florentina Joyce, Parente Salgado Josefina, Grehn Franz, Klink Thomas
University Würzburg, Eye Hospital, Würzburg, Germany.
Eur J Ophthalmol. 2012 Sep-Oct;22(5):823-5. doi: 10.5301/ejo.5000132.
This is a case report of intracorneal hematoma after canaloplasty and clear cornea phacoemulsification.
A 75-year-old woman presented with primary open angle glaucoma and visually significant cataract. Canaloplasty and clear corneal phacoemulsification were performed. Postoperatively she had an intracorneal hematoma, which was removed through a clear corneal tunnel.
Preoperative best-corrected visual acuity (BCVA) was 20/40 in the right eye and mean intraocular pressure (IOP) was 20 mmHg. Uneventful canaloplasty, clear corneal phacoemulsification, and implantation of a posterior chamber intraocular lens were performed. One day after the operation, BCVA was 20/400 in the right eye. The IOP was 8 mmHg. Anterior segment examination revealed a nasally located intrastromal hematoma between corneal stroma and Descemet membrane. The intracorneal hematoma was removed through a clear corneal tunnel. Six months postoperatively, BCVA was 20/25 in the right eye. The IOP with one medication was 17 mmHg.
This operation was a minimally invasive technique to remove intrastromal hematocornea after viscocanaloplasty.
本文是一例关于房角切开术联合透明角膜超声乳化术后角膜内血肿的病例报告。
一名75岁女性患者，患有原发性开角型青光眼且伴有明显影响视力的白内障。实施了房角切开术和透明角膜超声乳化术。术后她出现了角膜内血肿，通过透明角膜隧道将其清除。
术前右眼最佳矫正视力（BCVA）为20/40，平均眼压（IOP）为20 mmHg。顺利完成了房角切开术、透明角膜超声乳化术以及后房型人工晶状体植入术。术后一天，右眼BCVA为20/400，IOP为8 mmHg。眼前节检查发现角膜基质与后弹力层之间鼻侧存在基质内血肿。通过透明角膜隧道清除了角膜内血肿。术后六个月，右眼BCVA为20/25，使用一种药物治疗后的IOP为17 mmHg。
该手术是一种用于清除房角切开术后基质内角膜血肿的微创技术。
