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犬角膜内皮营养不良的内皮角膜移植术。

Endothelial keratoplasty for corneal endothelial dystrophy in a dog.

作者信息

Armour Micki D, Askew Timothy E, Eghrari Allen O

机构信息

Armour Veterinary Ophthalmology, Washington, District of Columbia.

Hunt Valley PharmaLAB, Cockeysville, Maryland.

出版信息

Vet Ophthalmol. 2019 Jul;22(4):545-551. doi: 10.1111/vop.12670. Epub 2019 Apr 10.

Abstract

OBJECTIVE

To assess the efficacy of an endothelial keratoplasty procedure at defined intervals to 1 year postoperatively for the treatment of corneal endothelial dystrophy (CED) in a canine patient.

PROCEDURE

A dog diagnosed with CED with progressive corneal edema underwent an endothelial keratoplasty. The patient was examined pre- and postoperatively with slit lamp biomicroscopy and ultrasonic pachymetry.

RESULTS

Mean central corneal thickness (CCT) measured with pachymetry was >1400 μm preoperatively and decreased postoperatively to 725 μm. The transplanted donor tissue became transparent 2 weeks postoperatively and incorporated with the recipient cornea. The graft remained transparent throughout the duration of the postoperative period evaluated in this study (2 weeks postoperatively to 1 year). The canine patient was comfortable pre- and postoperatively.

CONCLUSIONS

Endothelial keratoplasty is a potential therapeutic option for canine cases with progressive corneal thickening due to CED. As this is a single case study, further investigation into the use of endothelial keratoplasty to treat CED is warranted. Moreover, canine patients with CED might serve as a surgical model for human patients with Fuchs' Endothelial Corneal Dystrophy.

摘要

目的

评估角膜内皮移植手术在术后1年内特定时间间隔对犬类患者角膜内皮营养不良(CED)的治疗效果。

方法

一只被诊断为患有CED且角膜进行性水肿的犬接受了角膜内皮移植手术。术前和术后使用裂隙灯显微镜检查和超声测厚法对该患者进行检查。

结果

术前用测厚法测量的平均中央角膜厚度(CCT)>1400μm,术后降至725μm。移植的供体组织在术后2周变得透明,并与受体角膜融合。在本研究评估的术后期间(术后2周至1年),移植物一直保持透明。该犬类患者术前和术后均感觉舒适。

结论

角膜内皮移植术对于因CED导致角膜进行性增厚的犬类病例是一种潜在的治疗选择。由于这是一项单病例研究,有必要进一步研究使用角膜内皮移植术治疗CED。此外,患有CED的犬类患者可能作为人类富克斯角膜内皮营养不良患者的手术模型。

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