Rodriguez-Ausin P, Antolin-Garcia D, Santamaria Garcia L, Blazquez-Fernandez A-B
Hospital Universitario de Torrejón de Ardoz, Torrejón de Ardoz, Madrid, España.
Hospital Universitario de Torrejón de Ardoz, Torrejón de Ardoz, Madrid, España.
Arch Soc Esp Oftalmol. 2017 May;92(5):237-240. doi: 10.1016/j.oftal.2016.10.018. Epub 2016 Dec 8.
A 70 year-old male patient with a history of radial keratotomy suffering from Fuchs' dystrophy and a cataract. The patient received a two-step surgery: lens phacoemulsification and intraocular lens implant, followed by descemet stripping automated endothelial keratoplasty in both eyes, four months later. There were no complications apart from a recurrent cystoid macular oedema in both eyes. The best corrected visual acuity was 20/40 both eyes, and the patient was satisfied.
Descemet stripping automated endothelial keratoplasty may be considered as an alternative to penetrating keratoplasty in the case of endothelial dysfunction and radial keratotomy in patients with no corneal ectasia or significant stromal opacity.
一名70岁男性患者，有放射状角膜切开术病史，患有富克斯角膜内皮营养不良和白内障。该患者接受了两步手术：晶状体超声乳化和人工晶状体植入，四个月后双眼进行了后弹力层剥离自动内皮角膜移植术。除双眼复发性黄斑囊样水肿外，无其他并发症。双眼最佳矫正视力均为20/40，患者感到满意。
对于没有角膜扩张或明显基质混浊的内皮功能障碍和放射状角膜切开术患者，后弹力层剥离自动内皮角膜移植术可被视为穿透性角膜移植术的替代方法。
