Amaral C E, Palay D A
Department of Ophthalmology, Emory University, Atlanta, Georgia, USA.
Am J Ophthalmol. 1999 Jan;127(1):88-90. doi: 10.1016/s0002-9394(98)00296-7.
To demonstrate a successful repair of an intractable Descemet membrane detachment.
Case report. We used transcorneal mattress sutures to fixate Descemet membrane to the cornea in combination with intracameral air injection.
This technique resulted in reattachment of Descemet membrane and a substantial visual acuity improvement after complete resolution of corneal edema.
Surgical repair may be needed in cases of large Descemet membrane detachment. This technique provides an additional surgical alternative to repair intractable Descemet membrane detachment without causing excessive anterior chamber disruption; it may also prevent the need for a penetrating keratoplasty.
展示对难治性后弹力层脱离的成功修复。
病例报告。我们采用经角膜褥式缝线将后弹力层固定于角膜，并联合前房内注入空气。
该技术使后弹力层重新附着，角膜水肿完全消退后视力显著提高。
对于大面积后弹力层脱离病例可能需要手术修复。该技术为修复难治性后弹力层脱离提供了一种额外的手术选择，不会导致前房过度破坏；还可能避免穿透性角膜移植术的需要。
