*Devers Eye Institute †Lions VisionGift Research, Portland, OR.
J Glaucoma. 2013 Oct-Nov;22(8):e21-2. doi: 10.1097/01.ijg.0000435772.12655.47.
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).
This is a retrospective case report.
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.
Inadvertent insertion of a glaucoma tube into the DSAEK interface may result in ocular morbidity in patients with previous DSAEK surgery.
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。
这是一项回顾性病例报告。
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。
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。