ICE综合征：DMEK移植术后植入微旁路异种凝胶支架的病例报告
ICE-Syndrome: A Case Report of Implantation of a Microbypass Xen Gel Stent After DMEK Transplantation.
作者信息
Hohberger Bettina, Welge-Lüen Ulrich-Christoph, Lämmer Robert
机构信息
Department of Ophthalmology and Eye Clinic, Universitätsklinikum Erlangen, Friedrich-Alexander University, Erlangen-Nürnberg (FAU), Erlangen, Germany.
出版信息
J Glaucoma. 2017 Feb;26(2):e103-e104. doi: 10.1097/IJG.0000000000000584.
PURPOSE
Treatment of glaucoma eyes with iridocorneal endothelial syndrome is complex. Minimally invasive glaucoma surgery, such as one that implements a novel, microinvasive device, known as Xen gel stents, has shown promise in surgical glaucoma treatment and offers a new therapeutic option.
METHODS
This is a case report.
RESULTS
A successful implantation of Xen45 gel stent in a woman with secondary glaucoma due to unilateral iridocorneal endothelial syndrome after descement membrane endothelial keratoplasty operation, and the follow-up are presented.
CONCLUSIONS
Implantation of Xen gel stents may be a promising option for minimally invasive glaucoma surgery in difficult situations, as low adverse effects, good postsurgery visual acuity and sufficient regulation of intraocular pressure can be seen.
目的
治疗伴有虹膜角膜内皮综合征的青光眼病情复杂。微创青光眼手术，比如采用一种名为Xen凝胶支架的新型微创装置进行的手术，已在青光眼手术治疗中展现出前景，并提供了一种新的治疗选择。
方法
这是一篇病例报告。
结果
报告了一位因单侧虹膜角膜内皮综合征继发青光眼的女性患者，在施行后弹力层内皮角膜移植术后成功植入Xen45凝胶支架并进行随访的情况。
结论
在困难情况下，植入Xen凝胶支架可能是微创青光眼手术的一个有前景的选择，因为其不良反应低、术后视力良好且眼压调节充分。
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