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[穆拉因缝线加速急性圆锥角膜中角膜水肿的愈合]

[Muraine sutures accelerate healing of corneal hydrops in acute keratotorus].

作者信息

Schießl G, Suffo S, Milioti G, Seitz B

机构信息

Klinik für Augenheilkunde, Universitätsklinikum des Saarlandes UKS, Kirrberger Straße 100, 66421, Homburg/Saar, Deutschland.

出版信息

Ophthalmologe. 2019 Jul;116(7):665-668. doi: 10.1007/s00347-018-0791-0.

DOI:10.1007/s00347-018-0791-0
PMID:30229285
Abstract

We report on a 52-year-old male patient presenting with unilateral loss of vision of one week's duration. Pellucid marginal corneal degeneration was known. Slit lamp examination showed pronounced corneal edema as defined by acute corneal hydrops. After inferior preventive YAG iridotomy through clear cornea, intracameral air injection was performed. Deep stromal 10-0 nylon sutures were applied along the Descemet's membrane tear. The next day, the corneal edema had already begun to decrease.

摘要

我们报告了一名52岁男性患者,其出现单侧视力丧失,病程为一周。已知存在透明边缘角膜变性。裂隙灯检查显示有明显的角膜水肿,表现为急性角膜膨隆。经透明角膜行预防性下方YAG虹膜切开术后,进行了前房内空气注射。沿后弹力层撕裂处应用了10-0尼龙深层基质缝线。第二天,角膜水肿已开始减轻。

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[Muraine sutures accelerate healing of corneal hydrops in acute keratotorus].[穆拉因缝线加速急性圆锥角膜中角膜水肿的愈合]
Ophthalmologe. 2019 Jul;116(7):665-668. doi: 10.1007/s00347-018-0791-0.
2
Efficacy and safety of pre-Descemet's membrane sutures for the management of acute corneal hydrops in keratoconus.后弹力层前膜缝合术治疗圆锥角膜急性角膜水肿的疗效与安全性
Br J Ophthalmol. 2015 Jun;99(6):773-7. doi: 10.1136/bjophthalmol-2014-306287. Epub 2015 Jan 6.
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Management of Acute Corneal Hydrops Using Compression Sutures and Intracameral Air Injection.使用压迫缝线和前房内注气治疗急性角膜水肿。
Am J Case Rep. 2024 Jul 23;25:e944517. doi: 10.12659/AJCR.944517.
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Acute hydrops in pellucid marginal corneal degeneration.透明边缘角膜变性中的急性角膜水肿
Am J Ophthalmol. 1989 Feb 15;107(2):167-70. doi: 10.1016/0002-9394(89)90217-1.
5
Management of acute corneal hydrops with compression sutures and air tamponade.采用压迫缝线和空气填塞治疗急性角膜水肿。
Indian J Ophthalmol. 2022 Jun;70(6):2210. doi: 10.4103/ijo.IJO_1258_22.
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Acute hydrops with a 180-degree massive edematous cavern demonstrated by three dimensional view of anterior segment optical coherence tomography in a patient with pellucid marginal corneal degeneration, a case report.一例透明边缘角膜变性患者眼前节光学相干断层扫描三维视图显示急性积液伴180度巨大水肿性腔隙,病例报告
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Rapid Resolution of Large and Non- Resolving Corneal Hydrops using a modified technique of compression sutures.改良型加压缝线术快速消退大泡性角膜水肿并减少其复发
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Partial-thickness compression sutures without descemetopexy for management of acute hydrops in keratoconus: A novel surgical technique.部分厚度压缩缝线联合不做后弹力层撕除治疗圆锥角膜急性水肿:一种新的手术技术。
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To show the efficacy of compressive sutures alone in the management of acute hydrops in a keratoconus patient.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。
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Int Ophthalmol. 2021 Jun;41(6):2027-2031. doi: 10.1007/s10792-021-01758-5. Epub 2021 Feb 22.

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[Modern corneal diagnostics as the key for the correct classification of the disease and optimal treatment decisions].[现代角膜诊断作为疾病正确分类和最佳治疗决策的关键]
Ophthalmologie. 2023 Dec;120(12):1238-1250. doi: 10.1007/s00347-023-01919-0. Epub 2023 Sep 14.
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Surgical management of complicated Descemet's membrane detachment in corneas without prior endothelial keratoplasty.

本文引用的文献

1
Extreme Descemet's membrane rupture with hydrops in keratoconus: Clinical and histological manifestations.圆锥角膜中伴有角膜水肿的极端后弹力层破裂:临床及组织学表现
Am J Ophthalmol Case Rep. 2018 Apr 5;10:271-275. doi: 10.1016/j.ajoc.2018.04.003. eCollection 2018 Jun.
2
Efficacy and safety of pre-Descemet's membrane sutures for the management of acute corneal hydrops in keratoconus.后弹力层前膜缝合术治疗圆锥角膜急性角膜水肿的疗效与安全性
Br J Ophthalmol. 2015 Jun;99(6):773-7. doi: 10.1136/bjophthalmol-2014-306287. Epub 2015 Jan 6.
3
Intracameral perfluoropropane gas in the treatment of acute corneal hydrops.
未经先前内皮角膜移植术的角膜中复杂的 Descemet 膜脱离的手术治疗。
Graefes Arch Clin Exp Ophthalmol. 2024 Mar;262(3):879-889. doi: 10.1007/s00417-023-06231-w. Epub 2023 Sep 8.
4
[Penetrating excimer laser keratoplasty after acute keratoglobus in osteogenesis imperfecta].[成骨不全急性角膜膨隆后的穿透性准分子激光角膜移植术]
Ophthalmologie. 2023 Jul;120(7):771-775. doi: 10.1007/s00347-023-01827-3. Epub 2023 Mar 1.
5
Different compression sutures combined with intracameral air injection for acute corneal hydrops.不同压迫缝线联合前房注气治疗急性角膜水肿
Int J Ophthalmol. 2022 Sep 18;15(9):1538-1543. doi: 10.18240/ijo.2022.09.18. eCollection 2022.
6
[Stage-appropriate treatment of keratoconus].圆锥角膜的分期适宜治疗
Ophthalmologe. 2021 Oct;118(10):1069-1088. doi: 10.1007/s00347-021-01410-8. Epub 2021 Jun 28.
7
[Descemet membrane endothelial keratoplasty in complex eyes].[复杂眼的后弹力层内皮角膜移植术]
Ophthalmologe. 2019 Mar;116(3):228-235. doi: 10.1007/s00347-018-0818-6.
眼内房水中注入全氟丙烷气体治疗急性角膜水肿。
Ophthalmology. 2011 May;118(5):934-9. doi: 10.1016/j.ophtha.2010.09.030. Epub 2011 Jan 6.
4
Efficacy and safety of intracameral perfluoropropane (C3F8) tamponade and compression sutures for the management of acute corneal hydrops.前房内注入全氟丙烷(C3F8)填塞联合压迫缝线治疗急性角膜水肿的疗效与安全性
Cornea. 2009 Apr;28(3):317-20. doi: 10.1097/ICO.0b013e31818ada0b.
5
Management of acute corneal hydrops secondary to keratoconus with intracameral injection of sulfur hexafluoride (SF6).前房内注射六氟化硫(SF6)治疗圆锥角膜继发的急性角膜水肿
Cornea. 2007 Oct;26(9):1067-9. doi: 10.1097/ICO.0b013e31805444ba.
6
Intracameral air injection for acute hydrops in keratoconus.前房内注射空气治疗圆锥角膜急性水肿
Am J Ophthalmol. 2002 Jun;133(6):750-2. doi: 10.1016/s0002-9394(02)01437-x.