角膜后弹力层内皮角膜移植术后角膜后膜的组织病理学：一例报告
Histopathology of a retrocorneal membrane after Descemet membrane endothelial keratoplasty: a case report.
作者信息
Bayyoud Tarek, Rohrbach Jens Martin, Bartz-Schmidt Karl Ulrich, Thaler Sebastian
机构信息
Department of Ophthalmology, University Hospital of Tübingen, Elfriede-Aulhorn-Str. 7, 72076, Tübingen, Germany.
出版信息
J Med Case Rep. 2019 Feb 6;13(1):31. doi: 10.1186/s13256-018-1960-0.
BACKGROUND
We report the first histopathologically proven occurrence of a retrocorneal membrane after Descemet's membrane endothelial keratoplasty.
CASE PRESENTATION
A white Caucasian 76-year-old woman received penetrating keratoplasty on her right eye 2 years after Descemet's membrane endothelial keratoplasty surgery with combined cataract extraction and intraocular lens implantation for Fuchs' endothelial corneal dystrophy due to an allograft rejection with ensuing graft failure. Her preoperative vision was counting fingers (20/2000) caused by immunological debris, corneal edema, and secondary membrane formation. Her postoperative vision at 3 months was 20/125. The histopathological evaluation showed a membranous structure overlying the denuded Descemet membrane.
CONCLUSIONS
We report a case of a histopathologically proven retrocorneal membrane after Descemet's membrane endothelial keratoplasty surgery.
背景
我们报告了第一例经组织病理学证实的Descemet膜内皮角膜移植术后角膜后弹力层膜形成的病例。
病例介绍
一名76岁的白人女性，因Fuchs内皮角膜营养不良接受了Descemet膜内皮角膜移植手术，术后2年因同种异体移植排斥反应导致移植失败，并伴有白内障摘除和人工晶状体植入，右眼接受了穿透性角膜移植术。术前她的视力为眼前手动（20/2000），由免疫性碎屑、角膜水肿和继发性膜形成引起。术后3个月视力为20/125。组织病理学评估显示裸露的Descemet膜上覆盖有膜状结构。
结论
我们报告了一例经组织病理学证实的Descemet膜内皮角膜移植术后角膜后弹力层膜形成的病例。
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