Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Cornea. 2013 Jul;32(7):1058-62. doi: 10.1097/ICO.0b013e31828f0e1e.
To report a novel technique for repairing corneal perforations in 5 eyes of 3 patients with pellucid marginal degeneration (PMD). Four cases were successfully repaired with corneal sutures and 1 case required a penetrating keratoplasty.
Retrospective case series of corneal perforation repairs in the setting of PMD.
Four perforations were managed successfully with primary closure resulting in acceptable best spectacle-corrected visual acuity and stable corneal topography. One corneal perforation required a penetrating keratoplasty after unsuccessful suture repair.
Primary repair of corneal perforations in cases of PMD can be achieved with corneal suturing alone. This technique may achieve a satisfactory visual and topographic outcome with minimal complications.
报告一种修复 3 名患者 5 只眼的圆锥角膜（PMD）角膜穿孔的新方法。其中 4 例通过角膜缝线成功修复，1 例需要穿透性角膜移植术。
回顾性分析 PMD 患者角膜穿孔修复的病例系列。
4 例穿孔通过初次缝合成功修复，获得了可接受的最佳矫正视力和稳定的角膜地形图。1 例穿孔在缝合修复失败后需要穿透性角膜移植术。
单独使用角膜缝线可以实现 PMD 患者角膜穿孔的初次修复。该技术可能会获得满意的视觉和形态学结果，且并发症最小。
