晚期后弹力层脱离：15 年前因 ROP 行角膜缘松解性白内障切除术联合玻璃体切除术。
Late onset Descemet's membrane detachment: 15 years after limbal lensectomy with vitrectomy for ROP.
机构信息
Shri Bhagwan Mahavir Vitreoretinal Services, Medical Research Foundation, Chennai, Tamil Nadu, India.
C J Shah Cornea Services/Dr G Sitalakshmi Memorial Clinic for Ocular Surface Disorders, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.
出版信息
Indian J Ophthalmol. 2019 Jun;67(6):965-966. doi: 10.4103/ijo.IJO_725_18.
A case of stage 4B retinopathy of prematurity (ROP) after successful retinal reattachment surgery with maintained vision presented with hazy cornea with spontaneous Descemet's membrane detachment (DMD) 15 years after the surgery, requiring Descemet Stripping Endothelial Keratoplasty (DSEK) to restore vision. There are reports of late spontaneous DMD after phacoemulsification or previous corneal surgeries. This report is unique as there is no published literature of spontaneous DMD after limbal surgery for ROP when searched in PubMed. The immature Descemet's membrane (DM), surgical intervention and changes in immature DM with age would have contributed to spontaneous DMD and warrant a long-term follow-up of premature kids.
一例 4B 期早产儿视网膜病变（ROP）患者，在视网膜复位手术后成功维持视力，但在手术后 15 年出现角膜混浊伴自发性后弹力层脱离（DMD），需要行去内皮角膜内皮移植术（DSEK）以恢复视力。有报道称，在白内障超声乳化或先前的角膜手术后会出现晚期自发性 DMD。该报告较为独特，因为在 PubMed 中检索时，未发现 LIMBAL 手术治疗 ROP 后出现自发性 DMD 的文献。不成熟的后弹力层（DM）、手术干预以及 DM 随年龄的变化都可能导致自发性 DMD，因此需要对早产儿进行长期随访。
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