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在曾行过 Descemet 撕囊自动化内皮角膜移植术的眼中,将青光眼引流管无意中放置到了移植物-宿主界面。

Inadvertent placement of a glaucoma tube into the graft-host interface of an eye with previous Descemet stripping automated endothelial keratoplasty.

机构信息

*Devers Eye Institute †Lions VisionGift Research, Portland, OR.

出版信息

J Glaucoma. 2013 Oct-Nov;22(8):e21-2. doi: 10.1097/01.ijg.0000435772.12655.47.

DOI:10.1097/01.ijg.0000435772.12655.47
PMID:24084322
Abstract

PURPOSE

The aim of this study was to report the inadvertent insertion of a glaucoma tube into the graft-host interface in a patient with previous Descemet stripping automated endothelial keratoplasty (DSAEK).

METHODS

This is a retrospective case report.

RESULTS

A 56-year-old aniridic woman with a history of multiple failed penetrating keratoplasties (PKPs) and glaucoma underwent DSAEK under failed PKP of her left eye at our institution. After undergoing a subsequent glaucoma tube placement by an outside glaucoma specialist, the tube was identified in the DSAEK-PKP interface. The tube was successfully repositioned at the time of repeat PKP with placement of a Boston type I keratoprosthesis.

CONCLUSIONS

Inadvertent insertion of a glaucoma tube into the DSAEK interface may result in ocular morbidity in patients with previous DSAEK surgery.

摘要

目的

本研究旨在报告一例曾行 Descemet 撕囊全自动内皮角膜移植术(DSAEK)的患者,其青光眼引流管意外插入移植物宿主界面。

方法

这是一项回顾性病例报告。

结果

一名 56 岁无虹膜女性,左眼曾多次穿透性角膜移植术(PKP)和青光眼失败,在我院行 DSAEK 手术。在接受了一位外部青光眼专家的后续青光眼引流管放置后,该管在左眼 DSAEK-PKP 界面被发现。在重复 PKP 时,成功地将波士顿 I 型角膜移植术重新定位。

结论

在曾行 DSAEK 手术的患者中,青光眼引流管意外插入 DSAEK 界面可能导致眼部发病率。

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