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羊膜贴片移植术在治疗深板层角膜移植术后双前房中的应用

Amniotic Membrane Patch Graft in Management of Double Chamber after Deep Anterior Lamellar Keratoplasty.

作者信息

Zarei-Ghanavati Mehran, Davoodabadi Mahmood, Shahbazi Ahad

机构信息

Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Ophthalmic Vis Res. 2020 Oct 25;15(4):571-573. doi: 10.18502/jovr.v15i4.7795. eCollection 2020 Oct-Dec.

DOI:10.18502/jovr.v15i4.7795
PMID:33133449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7591843/
Abstract

PURPOSE

To describe a novel technique of amniotic membrane (AM) patch graft in the management of double chamber treatment after big-bubble deep anterior lamellar keratoplasty (DALK).

CASE REPORT

A 35-year-old male patient with advanced keratoconus underwent big-bubble DALK. Manual lamellar dissection was done due to failed big-bubble. First-day postoperative double chamber was detected. Air bubbling and SF6 injection were tried without any success. Double chamber resolved by fixation of AM transplantation patch graft (1 1 mm) over the Descemet's membrane perforation with fibrin glue.

CONCLUSION

Amniotic membrane patch graft can be used in the management of double chamber after DALK not responsive to intracameral gas injection.

摘要

目的

描述一种羊膜（AM）贴片移植新技术，用于大泡性深前板层角膜移植术（DALK）后双腔处理。

病例报告

一名35岁晚期圆锥角膜男性患者接受了大泡性DALK。因大泡形成失败进行了手动板层分离。术后第一天检测到双腔。尝试了空气鼓泡和注入SF6，但均未成功。通过用纤维蛋白胶将AM移植贴片（1×1mm）固定在Descemet膜穿孔处，双腔得以解决。

结论

羊膜贴片移植可用于治疗对前房内气体注射无反应的DALK术后双腔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea8/7591843/3b153f63d754/jovr-15-571-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea8/7591843/3b153f63d754/jovr-15-571-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aea8/7591843/3b153f63d754/jovr-15-571-g001.jpg

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本文引用的文献

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Int Ophthalmol. 2019 Oct;39(10):2275-2282. doi: 10.1007/s10792-018-01065-6. Epub 2019 Jan 17.
2
Late spontaneous resolution of a double anterior chamber post deep anterior lamellar keratoplasty.深层前板层角膜移植术后双前房的晚期自发消退
Saudi J Ophthalmol. 2017 Jan-Mar;31(1):58-60. doi: 10.1016/j.sjopt.2017.01.003. Epub 2017 Feb 16.
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Update on diagnosis and management of Descemet's membrane detachment.
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Curr Opin Ophthalmol. 2013 Jul;24(4):356-61. doi: 10.1097/ICU.0b013e3283622873.
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Amniotic membrane transplantation for acute ocular burns.羊膜移植治疗急性眼烧伤。
Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD009379. doi: 10.1002/14651858.CD009379.pub2.
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The use of fibrin glue to seal Descemet membrane microperforations occurring during deep anterior lamellar keratoplasty.使用纤维蛋白胶封闭深板层角膜移植术中发生的 Descemet 膜微穿孔。
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