深板层角膜移植术后前房上皮囊肿形成，过程顺利。
Anterior Chamber Epithelial Cyst After Uneventful Deep Anterior Lamellar Keratoplasty.
作者信息
Costa José F, Rego Marco, Rosa Andreia, Costa Esmeralda, Fonseca Pedro, Cachulo Maria Luz, Veríssimo Júlia, Quadrado Maria João, Murta Joaquim
机构信息
*Department of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; and †Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
出版信息
Cornea. 2016 Oct;35(10):1372-4. doi: 10.1097/ICO.0000000000000866.
PURPOSE
To report the case of an anterior chamber epithelial cyst after uncomplicated deep anterior lamellar keratoplasty (DALK) treated with a tissue-sparing surgical technique.
METHODS
A 35-year-old female patient underwent DALK in her OS because of stage IV keratoconus. The surgery was uneventful, and 3 months postoperatively, best-corrected visual acuity (BCVA) was 20/25. By the sixth postoperative month, a cystic iris lesion was noticed. The lesion grew progressively larger, and BCVA dropped to 20/63 in OS. Cyst excision was performed.
RESULTS
No complications possibly related to the surgery were observed. Two years later, BCVA was 20/25 in OS, and there were no signs of cyst recurrence. Histopathological examination of the lesion showed an epithelial implantation cyst.
CONCLUSIONS
An anterior chamber epithelial cyst is a sight-threatening condition that may occur after DALK. In selected cases, a conservative surgical approach is an effective treatment option, conveying excellent functional and anatomical outcomes.
目的
报告1例采用保留组织手术技术治疗的单纯性深板层角膜移植术（DALK）后前房上皮囊肿病例。
方法
一名35岁女性患者因IV期圆锥角膜在其左眼行DALK。手术过程顺利，术后3个月最佳矫正视力（BCVA）为20/25。术后第6个月，发现一个囊性虹膜病变。病变逐渐增大，左眼BCVA降至20/63。进行了囊肿切除术。
结果
未观察到可能与手术相关的并发症。两年后，左眼BCVA为20/25，无囊肿复发迹象。病变的组织病理学检查显示为上皮植入性囊肿。
结论
前房上皮囊肿是一种可在DALK后发生的威胁视力的疾病。在特定病例中，保守手术方法是一种有效的治疗选择，可带来良好的功能和解剖学结果。
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