绷带式隐形眼镜作为伴有角膜混浊的玻璃体切除术临时角膜移植术的替代方案。
Bandage Contact Lens as an Alternative to a Temporary Keratoprosthesis for Vitrectomy With Concurrent Corneal Opacity.
作者信息
Latasiewicz Marta, Adams Mike, Helmy Youssef
机构信息
Department of Ophthalmology, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Department of Ophthalmology, Cairo University, Cairo, Egypt.
出版信息
J Vitreoretin Dis. 2025 May 7:24741264251340110. doi: 10.1177/24741264251340110.
To present a case of a bandage contact lens being used as an alternative to a temporary keratoprosthesis for urgent vitreoretinal surgery. A single case was evaluated. A 72-year-old man with monocular vision presented with a retinal detachment (RD) after repair of a traumatic globe rupture. His ocular history included previous penetrating keratoplasty (PKP) and RD surgery in the eye that had visual ability. The previous corneal graft was opacified and a conventional temporary keratoprosthesis was unavailable. After removal of the corneal graft, a bandage contact lens was used as an alternative to a temporary keratoprosthesis. Subsequently, pars plana vitrectomy and a PKP were performed. The bandage contact lens provided excellent visualization for the vitrectomy and resulted in a successful final outcome. When corneal opacity precludes vitrectomy and a temporary keratoprosthesis is unavailable, a bandage contact lens is a viable option.
介绍一例将绷带式隐形眼镜用作紧急玻璃体视网膜手术中临时角膜移植替代物的病例。对单一病例进行了评估。一名72岁单眼视力男性患者，在创伤性眼球破裂修复后出现视网膜脱离（RD）。他的眼部病史包括之前在有视力的眼睛上进行过穿透性角膜移植术（PKP）和RD手术。先前的角膜移植片已混浊，且无法获得传统的临时角膜移植片。在移除角膜移植片后，使用绷带式隐形眼镜作为临时角膜移植片的替代物。随后，进行了玻璃体切割术和PKP。绷带式隐形眼镜为玻璃体切割术提供了良好的视野，并带来了成功的最终结果。当角膜混浊妨碍玻璃体切割术且无法获得临时角膜移植片时，绷带式隐形眼镜是一个可行的选择。
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