Szurman Peter, Boden Karl T, Rickmann Annekatrin
Eye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, Germany.
Klaus Heimann Eye Research Institute (KHERI), Knappschaft Hospital Saar, Sulzbach, Germany.
Am J Ophthalmol Case Rep. 2022 Aug 19;28:101688. doi: 10.1016/j.ajoc.2022.101688. eCollection 2022 Dec.
Presenting a simple technique using an inversely implanted contact lens to create a temporary diaphragm to assist DMEK surgery in aphakic, partially aniridic and vitrectomized eyes.
The postoperative course was without pressure abnormalities and the anterior chamber remained deep. The cornea completely cleared within 3 weeks and remained clear after removal of the contact lens showing a corneal thickness of 544 μm and an intact endothelial cell pattern on endothelial cell microscopy after 3 months.
The inversely implanted contact lens provides an easily accessible temporary diaphragm, making DMEK surgery a safer procedure even in complex eyes without an adequate posterior barrier.
介绍一种使用反向植入隐形眼镜创建临时隔膜的简单技术，以辅助无晶状体眼、部分无虹膜眼和玻璃体切除术后眼的Descemet膜内皮角膜移植术（DMEK）。
术后过程无眼压异常，前房保持深邃。角膜在3周内完全清除，取出隐形眼镜后仍保持清晰，3个月后角膜厚度为544μm，内皮细胞显微镜检查显示内皮细胞形态完整。
反向植入隐形眼镜提供了一个易于操作的临时隔膜，使DMEK手术即使在没有足够后屏障的复杂眼中也成为一种更安全的手术。
