Cornea and Refractive Surgery Department, Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico.
Cornea. 2020 May;39(5):661-665. doi: 10.1097/ICO.0000000000002265.
To determine whether sole full-thickness corneal sutures are a feasible treatment for acute corneal hydrops, and if so, report the anatomic and visual results of this technique.
A retrospective case series was carried out in 17 patients, all of whom received sole full-thickness sutures as a treatment for corneal hydrops.
The included patients reported symptom commencement a median of 15 days before the surgical intervention. The patients' median preoperative corneal pachymetry was 1235 μm, whereas 1 month after the surgery, the median corneal thickness was 830 μm, and after 3 months, it was 502 μm (P < 0001). Preoperative best corrected visual acuity (BCVA) was 1.40 LogMAR and a final postsurgical BCVA of 1.00 LogMAR after 3 months of the follow-up (P < 0001). Deep neovascularization was present in 3 patients (17.6%); none of the patients developed cataract formations or pupillary blocks.
Given the improvement of the corneal pachymetry and the BCVA, sole full-thickness sutures seem to be a feasible surgical option to treat severe acute corneal hydrops.
确定单纯全层角膜缝线是否是急性角膜水肿的一种可行治疗方法，如果是，报告该技术的解剖学和视觉结果。
对 17 名患者进行了回顾性病例系列研究，所有患者均接受单纯全层缝线治疗角膜水肿。
纳入的患者报告症状开始于手术干预前 15 天中位数。患者的术前角膜中央厚度中位数为 1235μm，而术后 1 个月时角膜厚度中位数为 830μm，术后 3 个月时为 502μm（P<0.0001）。术前最佳矫正视力（BCVA）为 1.40 LogMAR，随访 3 个月后最终术后 BCVA 为 1.00 LogMAR（P<0.0001）。3 名患者（17.6%）存在深层新生血管；无患者发生白内障形成或瞳孔阻滞。
鉴于角膜中央厚度和 BCVA 的改善，单纯全层缝线似乎是治疗严重急性角膜水肿的一种可行手术选择。
