在深板层角膜移植术中使用大泡技术时出现的双泡。
Double bubble with the big-bubble technique during deep anterior lamellar keratoplasty.
作者信息
Wise Stephanie, Dubord Paul, Yeung Sonia N
机构信息
Department of Ophthalmology and Visual Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Eye Care Centre (VGH), Administration Office, 3rd Floor, 2550 Willow Street, Vancouver, BC, V5Z 3N9, Canada.
出版信息
Int Ophthalmol. 2018 Jun;38(3):1313-1316. doi: 10.1007/s10792-017-0540-4. Epub 2017 Apr 28.
PURPOSE
To report a case of intraoperative double bubble that formed during big-bubble DALK surgery in a patient with corneal scarring secondary to herpetic stromal keratitis.
METHODS
Case report.
RESULTS
A 22 year old woman presented with a large corneal scar, likely secondary to previous herpetic stromal keratitis. She underwent big-bubble DALK surgery for visual rehabilitation. Intraoperatively, a mixed bubble with persistent type 2 bubble postoperatively was noted. The second bubble resorbed with clearance of the graft and good visual outcome after 6 weeks.
CONCLUSIONS
This case report describes the unusual development of a mixed bubble during big-bubble DALK surgery. This graft cleared with resolution of the second bubble postoperatively without further surgical intervention.
目的
报告1例在大泡性深板层角膜移植术（DALK）中出现术中双泡的病例，该患者因疱疹性基质性角膜炎继发角膜瘢痕。
方法
病例报告。
结果
一名22岁女性，有一个大的角膜瘢痕，可能继发于既往疱疹性基质性角膜炎。她接受了大泡性DALK手术以恢复视力。术中发现一个混合泡，术后出现持续的2型泡。第二个泡在6周后随着植片的清除和良好的视力结果而吸收。
结论
本病例报告描述了大泡性DALK手术中混合泡的不寻常发展。该植片在术后第二个泡消退后清除，无需进一步手术干预。
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