后弹力层剥除自动角膜内皮移植术后角膜基质透镜脱位的移植缝合术
Graft suturing for lenticule dislocation after descemet stripping automated endothelial keratoplasty.
作者信息
Wu Wai-Kwan, Wong Victoria W Y, Chi Stanley C C
机构信息
Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong and Hong Kong Eye Hospital, Hong Kong, China.
出版信息
J Ophthalmic Vis Res. 2011 Apr;6(2):131-5.
PURPOSE
To report the mid-term outcomes of graft suturing in a patient with lenticule dislocation after Descemet stripping automated endothelial keratoplasty (DSAEK).
CASE REPORT
A 78-year old woman was found to have graft dislocation involving the nasal half of the cornea after uneventful DSAEK. Graft repositioning, refilling the anterior chamber with air, and placement of four full-thickness 10/0 nylon sutures over the detached area were performed two weeks after the initial surgery. The sutures were removed 6 weeks later. Serial specular microscopy and anterior segment optical coherence tomography were performed. At 18 months, there was good lenticule apposition and a clear graft.
CONCLUSION
Anchoring sutures seem to be effective for management of graft detachment following DSAEK.
目的
报告在Descemet膜剥脱自动内皮角膜移植术（DSAEK）后发生晶状体脱位患者中进行植片缝合的中期结果。
病例报告
一名78岁女性在顺利完成DSAEK术后，发现植片脱位累及角膜鼻侧半。在初次手术后两周进行了植片复位、用空气重新填充前房，并在脱离区域上方放置了4根全层10/0尼龙缝线。6周后拆除缝线。进行了系列镜面显微镜检查和眼前节光学相干断层扫描。在18个月时，晶状体贴合良好，植片清晰。
结论
锚定缝线似乎对DSAEK术后植片脱离的处理有效。
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