Department of Ophthalmology, Juntendo University Shizuoka Hospital, Shizuoka, Japan.
Eye Contact Lens. 2023 Jan 1;49(1):42-44. doi: 10.1097/ICL.0000000000000959. Epub 2022 Nov 16.
To report a new surgical method for intracorneal hematoma removal using combination of keratocentesis and gas tamponade in the anterior chamber.
We reviewed the clinical course and outcomes of surgical intervention.
An 82-year-old woman visited our department because of a sudden decline in visual acuity (20/800 on the Snellen chart) in her left eye. We observed neovascularization from the superior corneal limbus and a hematoma near the Descemet membrane, deep in the stroma of the corneal center. Filtered air was injected into the anterior chamber, keratocentesis was performed at four locations from the corneal epithelium through the stroma, and the hematoma was removed from the puncture sites. The corneal hematoma disappeared, and the best-corrected visual acuity reached 20/20 at postoperative month 4.
Combination of keratocentesis and gas tamponade in the anterior chamber is a simple and effective method for removing intracorneal hematomas.
报告一种使用角膜穿刺术和前房气体填充联合治疗角膜内血肿的新手术方法。
我们回顾了手术干预的临床过程和结果。
一位 82 岁女性因左眼视力突然下降（Snellen 图表上为 20/800）就诊。我们观察到角膜缘上方有新生血管形成，角膜中央基质深层靠近角膜后弹力层处有血肿。在前房内注入过滤空气，从角膜上皮穿过基质在四个位置行角膜穿刺术，从穿刺部位清除血肿。角膜血肿消失，术后 4 个月最佳矫正视力达到 20/20。
前房角膜穿刺术联合气体填充是一种简单有效的治疗角膜内血肿的方法。
