Sharma Namrata, Singhal Deepali, Nair Sreelakshmi P, Sahay Pranita, Sreeshankar S S, Maharana Prafulla Kumar
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2017 Dec;65(12):1381-1389. doi: 10.4103/ijo.IJO_871_17.
Phacoemulsification is the most commonly performed cataract surgery in this era. With all the recent advances in investigations and management of cataract through phacoemulsification, most of the patients are able to achieve excellent visual outcome. Corneal edema after phacoemulsification in the immediate postoperative period often leads to patient dissatisfaction and worsening of outcome. Delayed onset corneal edema often warrants endothelial keratoplasty. This review highlights the etiopathogenesis, risk factors, and management of corneal edema in the acute phase including descemet's membrane detachment (DMD) and toxic anterior segment syndrome. Various investigative modalities such as pachymetry, specular microscopy, anterior segment optical coherence tomography, and confocal microscopy have been discussed briefly.
超声乳化白内障吸除术是这个时代最常进行的白内障手术。随着近年来通过超声乳化白内障吸除术在白内障检查和治疗方面取得的所有进展,大多数患者能够获得出色的视觉效果。超声乳化白内障吸除术后即刻出现的角膜水肿常常导致患者不满意并使手术效果变差。迟发性角膜水肿往往需要进行内皮角膜移植术。这篇综述重点介绍了急性期角膜水肿的病因发病机制、危险因素及处理,包括后弹力层脱离(DMD)和毒性眼前节综合征。还简要讨论了各种检查方法,如测厚法、镜面显微镜检查、眼前节光学相干断层扫描和共聚焦显微镜检查。