目的是展示单纯压迫缝线术在治疗圆锥角膜患者急性角膜水肿中的疗效。
To show the efficacy of compressive sutures alone in the management of acute hydrops in a keratoconus patient.
作者信息
Subudhi Praveen, Khan Zahiruddin, Subudhi B Nageswar Rao, Sitaram Silla
机构信息
Department of Ophthalmology, Ruby Eye Hospital, Berhampur, India.
Department of Ophthalmology, Hitech Medical College, Bhubaneswar, India.
出版信息
BMJ Case Rep. 2017 May 4;2017:bcr-2016-218843. doi: 10.1136/bcr-2016-218843.
A 17-year-old boy presented with sudden loss of vision in the left eye (OS) for 3 days. He was diagnosed with acute hydrops following keratoconic progression in OS. The patient was initially started on topical medical therapy, including steroids and hypertonic eye drops; showing no signs of resolution. Hence, the patient was planned for full-thickness compressive corneal sutures. Four sutures were placed along the central oedematous area covering the area of ruptured Descemet's membrane. Signs of resolution were noticed by 1st week and there was complete resolution of oedema by 3rd post-op week. Sutures were removed by 7th postoperative week/45th day. The patient was doing fine with visual acuity of 6/60 in the last visit with no symptoms of discomfort and no signs of corneal vascularisation. Full-thickness corneal compressive sutures is an effective alternative in cases of acute hydrops if perfluoropropane gas is not available.
一名17岁男孩因左眼突然失明3天前来就诊。他被诊断为左眼圆锥角膜进展后急性水肿。患者最初接受局部药物治疗，包括使用类固醇和高渗眼药水，但水肿无消退迹象。因此，计划对患者进行全层压迫性角膜缝合术。沿着中央水肿区域放置了4根缝线，覆盖破裂的Descemet膜区域。术后第1周可见水肿消退迹象，术后第3周水肿完全消退。术后第7周/第45天拆除缝线。上次就诊时患者视力为6/60，情况良好，无不适症状，也无角膜血管化迹象。如果没有全氟丙烷气体，全层角膜压迫性缝合术是治疗急性水肿的有效替代方法。
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