Jastaneiah Sabah S
Cornea and Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Saudi J Ophthalmol. 2011 Jul;25(3):301-3. doi: 10.1016/j.sjopt.2011.04.008. Epub 2011 Apr 30.
This case report presents a case that had Descemet's stripping automated endothelial keratoplasty complicated postoperatively by detached donor grafts. The patient had a well centered partially detached graft that attached spontaneously the next day without the need to re-bubble. Postoperatively he had a clear cornea, improved uncorrected visual acuity with good endothelial cell count. It is worth waiting for a partially detached well centered graft to adhere spontaneously; this would lower the possible risks of repeated anterior chamber air injections. Cases should be selected to eliminate any mechanical factor that would prevent the attachment.
本病例报告介绍了一例接受了Descemet膜剥离自动内皮角膜移植术的患者，术后发生供体植片脱离的情况。该患者的植片部分脱离且位置居中良好，次日自行附着，无需再次注入空气泡。术后其角膜透明，裸眼视力提高，内皮细胞计数良好。值得等待位置居中良好的部分脱离植片自行附着；这将降低反复前房注气可能带来的风险。应选择病例以消除任何可能阻止植片附着的机械因素。
