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一名患有埃勒斯-当洛综合征的患者发生创伤后角膜破裂的难题。

The conundrum of post-traumatic corneal rupture in a patient with Ehlers-Danlos syndrome.

作者信息

Jain Parul, Gupta Isha, Hariani Avani, Reddy Gahan

机构信息

Department of Ophthalmology, Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India.

Guru Nanak Eye Centre, New Delhi, India.

出版信息

Oman J Ophthalmol. 2025 Feb 25;18(1):58-60. doi: 10.4103/ojo.ojo_153_24. eCollection 2025 Jan-Apr.

Abstract

To describe the management of post-traumatic Descemet's membrane detachment and intraoperative corneal rupture in a known case of Ehlers-Danlos Syndrome (EDS). A 7-year-old child, a known case of EDS, presented with Descemet's membrane tear in the right eye for which intracameral sulfur hexafluoride (SF) and descemetopexy were done. Intraoperative spontaneous rupture of the cornea was noted during descemetopexy which was managed using cyanoacrylate glue and bandage contact lens. We successfully used cyanoacrylate tissue adhesive glue for sealing of corneal rupture suggesting that it can be considered a treatment option for such cases where there is a lack of tissue strength for suturing.

摘要

描述在一例已知的埃勒斯-当洛综合征(EDS)患者中创伤后Descemet膜脱离及术中角膜破裂的处理。一名7岁已知EDS患者,右眼出现Descemet膜撕裂,为此行前房内注入六氟化硫(SF)及Descemet膜固定术。在Descemet膜固定术中发现角膜术中自发性破裂,使用氰基丙烯酸酯胶水及绷带式隐形眼镜进行处理。我们成功使用氰基丙烯酸酯组织黏合剂封闭角膜破裂,表明对于缺乏缝合组织强度的此类病例,可将其视为一种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/725b/11925382/ef77574ed7d5/OJO-18-58-g001.jpg

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