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前弹力层下深板层角膜移植术治疗急性角膜水肿

Management of acute hydrops with pre-Descemet's deep anterior lamellar keratoplasty.

作者信息

Mohan Sujatha, Mohan Madhuvanthi, Danasekar Sujitha, Mohan Sashwanthi

机构信息

Department of Cornea and Refractive Surgery, Rajan Eye Care Hospital, Chennai, Tamil Nadu, India.

出版信息

Oman J Ophthalmol. 2022 Jun 29;15(2):237-239. doi: 10.4103/ojo.ojo_317_21. eCollection 2022 May-Aug.

DOI:10.4103/ojo.ojo_317_21
PMID:35937730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9351966/
Abstract

This case report describes a 23-year-old female patient who had bilateral keratoconus and a history of right eye penetrating keratoplasty who presented with acute hydrops in the left eye which did not respond to conservative management. Pre-Descemet's deep anterior lamellar keratoplasty was performed in the acute stage for management of the impending perforation with good visual outcomes.

摘要

本病例报告描述了一名23岁女性患者，该患者患有双侧圆锥角膜，右眼有穿透性角膜移植术病史，左眼出现急性角膜膨隆，保守治疗无效。在急性期进行了前弹力层下深板层角膜移植术以处理即将发生的穿孔，术后视力恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/388e8bf56dcf/OJO-15-237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/1725ef87ffed/OJO-15-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/77ba7c7590c0/OJO-15-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/5561254f3e3c/OJO-15-237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/388e8bf56dcf/OJO-15-237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/1725ef87ffed/OJO-15-237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/77ba7c7590c0/OJO-15-237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/5561254f3e3c/OJO-15-237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc71/9351966/388e8bf56dcf/OJO-15-237-g004.jpg

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本文引用的文献

1
Primary Modified Predescemetic Deep Anterior Lamellar Keratoplasty in Acute Corneal Hydrops.急性角膜水肿的原发性改良前弹力层下深板层角膜移植术
Cornea. 2018 Oct;37(10):1328-1333. doi: 10.1097/ICO.0000000000001693.
2
Management of acute corneal hydrops in ectatic corneal disorders.扩张性角膜疾病中急性角膜水肿的处理。
Curr Opin Ophthalmol. 2012 Jul;23(4):317-23. doi: 10.1097/ICU.0b013e328354a2a8.
3
Anterior segment optical coherence tomography features of acute corneal hydrops.眼前节光学相干断层扫描在急性角膜水肿中的特征。
Cornea. 2012 May;31(5):479-85. doi: 10.1097/ICO.0b013e318223988e.
4
Ultrasound biomicroscopy-guided assessment of acute corneal hydrops.超声生物显微镜引导下的急性角膜水肿评估。
Ophthalmology. 2011 Nov;118(11):2166-71. doi: 10.1016/j.ophtha.2011.03.040. Epub 2011 Jul 20.
5
Nonresolution of acute hydrops because of intrastromal migration of perfluoropropane gas.由于全氟丙烷气体的间质内迁移，急性水肿未消退。
Cornea. 2010 Aug;29(8):944-6. doi: 10.1097/ICO.0b013e3181ca6353.
6
Efficacy and safety of intracameral perfluoropropane (C3F8) tamponade and compression sutures for the management of acute corneal hydrops.前房内注入全氟丙烷（C3F8）填塞联合压迫缝线治疗急性角膜水肿的疗效与安全性
Cornea. 2009 Apr;28(3):317-20. doi: 10.1097/ICO.0b013e31818ada0b.
7
Spontaneous corneal hydrops and perforation in keratoconus and pellucid marginal degeneration.圆锥角膜和透明边缘变性中的自发性角膜水肿和穿孔。
Cornea. 2003 Mar;22(2):169-74. doi: 10.1097/00003226-200303000-00019.
8
Intracameral air injection for acute hydrops in keratoconus.前房内注射空气治疗圆锥角膜急性水肿
Am J Ophthalmol. 2002 Jun;133(6):750-2. doi: 10.1016/s0002-9394(02)01437-x.
9
Acute hydrops in the corneal ectasias: associated factors and outcomes.角膜扩张症中的急性水肿：相关因素及预后
Trans Am Ophthalmol Soc. 1999;97:187-98; discussion 198-203.
10
A technique to visualize corneal incision and lamellar dissection depth during surgery.一种在手术过程中可视化角膜切口和板层分离深度的技术。
Cornea. 1999 Jan;18(1):80-6.