Zarei-Ghanavati Mehran, Davoodabadi Mahmood, Shahbazi Ahad
Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Ophthalmic Vis Res. 2020 Oct 25;15(4):571-573. doi: 10.18502/jovr.v15i4.7795. eCollection 2020 Oct-Dec.
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).
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.
Amniotic membrane patch graft can be used in the management of double chamber after DALK not responsive to intracameral gas injection.
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。
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。
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。