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通过眼前节光学相干断层扫描评估并采用后弹力层固定术和角膜排气切口治疗的后弹力层脱离:病例系列

Descemet Membrane Detachment Assessed by Anterior Segment-Optical Coherence Tomography and Managed With Descemetopexy and Corneal Venting Incision: A Case Series.

作者信息

Kundan Shimpa, Sahu Pramod K, Sharma Akshita, Das Gopal K, Aamir Prince A

机构信息

Ophthalmology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, IND.

出版信息

Cureus. 2025 Jun 23;17(6):e86631. doi: 10.7759/cureus.86631. eCollection 2025 Jun.

Abstract

Descemet membrane detachment (DMD) is a serious complication of cataract surgery noted mostly in the immediate post-operative period. We present a case series of five patients who experienced unresolved corneal edema during the post-operative period with DMD, as observed in slit-lamp examination and confirmed by anterior segment-optical coherence tomography. In all these cases, descemetopexy, along with a corneal venting incision, is performed for better and faster results, resulting in a clearer cornea. Early detection and management of DMD can give excellent visual outcomes and prevent vision loss in such cases.

摘要

后弹力层脱离(DMD)是白内障手术的一种严重并发症,主要发生在术后即刻。我们报告了一组5例患者的病例系列,这些患者在术后出现角膜水肿且未消退,裂隙灯检查观察到DMD,并经眼前节光学相干断层扫描证实。在所有这些病例中,均进行了后弹力层固定术并联合角膜排气切口,以获得更好更快的效果,使角膜更清晰。早期发现和处理DMD可在此类病例中带来极佳的视觉效果并防止视力丧失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/c06e4b5834d9/cureus-0017-00000086631-i01.jpg

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