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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.

DOI:10.7759/cureus.86631
PMID:40709136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12287622/
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/1627/12287622/7f067d7eb246/cureus-0017-00000086631-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/c06e4b5834d9/cureus-0017-00000086631-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/95b7daac4509/cureus-0017-00000086631-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/40bc0ba1b06e/cureus-0017-00000086631-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/83f79db44eac/cureus-0017-00000086631-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/cd954e254c79/cureus-0017-00000086631-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/7f067d7eb246/cureus-0017-00000086631-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/c06e4b5834d9/cureus-0017-00000086631-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/95b7daac4509/cureus-0017-00000086631-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/40bc0ba1b06e/cureus-0017-00000086631-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/83f79db44eac/cureus-0017-00000086631-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/cd954e254c79/cureus-0017-00000086631-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1627/12287622/7f067d7eb246/cureus-0017-00000086631-i06.jpg

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本文引用的文献

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Descemet membrane detachment.后弹力层脱离。
Surv Ophthalmol. 2020 May-Jun;65(3):279-293. doi: 10.1016/j.survophthal.2019.12.006. Epub 2020 Jan 8.
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An alternative technique for Descemet's membrane detachment following phacoemulsification: case report and review of literature.白内障超声乳化术后Descemet膜脱离的一种替代技术：病例报告及文献综述
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A retrospective study on the incidence of post-cataract surgery Descemet's membrane detachment and outcome of air descemetopexy.
白内障手术后Descemet膜脱离发生率及空气黏弹剂黏附术效果的回顾性研究
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Delayed-onset descemet membrane detachment after uneventful cataract surgery treated by corneal venting incision with air tamponade: a case report.经角膜排气切口联合空气填塞治疗白内障手术后延迟性后弹力层脱离：一例报告
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Height-, extent-, length-, and pupil-based (HELP) algorithm to manage post-phacoemulsification Descemet membrane detachment.用于处理白内障超声乳化术后Descemet膜脱离的基于高度、范围、长度和瞳孔的（HELP）算法
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Anterior Segment Optical Coherence Tomography-Guided Management Algorithm for Descemet Membrane Detachment After Intraocular Surgery.眼内手术后Descemet膜脱离的眼前节光学相干断层扫描引导管理算法
Cornea. 2015 Sep;34(9):1170-4. doi: 10.1097/ICO.0000000000000514.
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Complex Descemet's Membrane Tears and Detachment during Phacoemulsification.白内障超声乳化术中复杂的后弹力层撕裂与脱离
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Repeat Descemetopexy after Descemet's Membrane Detachment following Phacoemulsification.白内障超声乳化术后Descemet膜脱离后的重复Descemet膜固定术
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Update on diagnosis and management of Descemet's membrane detachment.关于迪斯梅特膜脱离的诊断和处理的最新进展。
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Descemet membrane detachment after phacoemulsification surgery: risk factors and success of air bubble tamponade.超声乳化术后撕囊膜：危险因素和气泡填塞的成功率。
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