Simultaneous Deep Anterior Lamellar Keratoplasty and Descemet Membrane Endothelial Keratoplasty for Corneal Endothelial Failure With Stromal Scarring.

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Necip Kara
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引用次数: 0

Abstract

Abstract: We present an alternative surgical procedure including simultaneous deep anterior lamellar keratoplasty (DALK) and Descemet membrane endothelial keratoplasty (DMEK) in a case with endothelial failure and stromal scarring. A 62-year-old woman presented with vision loss caused by pseudophakic bullous keratopathy. While waiting for a corneal transplant, the patient developed infectious keratitis, which was treated with medication. Although the keratitis healed, it left a scar. To improve the patient's vision, a corneal transplant surgery that included simultaneous DALK and DMEK was performed. Postoperatively, the corneal graft was clear, and the Descemet membrane was well attached. However, there was an interface haze because of residual stromal tissue. The patient's best-corrected visual acuity improved from hand motion to 0.2 (decimal). This combined procedure allows for lamellar keratoplasty in cases with coexistence of corneal endothelial and stromal involvement.

同时进行深前角膜板层角膜移植术和去角膜内皮角膜移植术治疗伴有基质瘢痕的角膜内皮功能衰竭。
摘要:我们针对一例内皮功能衰竭和基质瘢痕的病例,介绍了一种可供选择的手术方法,包括同时进行深前板层角膜移植术(DALK)和去角质膜内皮角膜移植术(DMEK)。一名 62 岁的妇女因假性角膜牛皮样角膜病导致视力下降。在等待角膜移植期间,患者患上了感染性角膜炎,并接受了药物治疗。虽然角膜炎痊愈了,但留下了疤痕。为了改善患者的视力,医生为他进行了角膜移植手术,包括同时进行 DALK 和 DMEK。术后,角膜移植物清晰可见,Descemet 膜附着良好。但是,由于基质组织残留,出现了界面混浊。患者的最佳矫正视力从手部运动提高到了 0.2(十进制)。这种联合手术可用于角膜内皮和基质同时受累的板层角膜移植术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.50
自引率
4.30%
发文量
150
审稿时长
6-12 weeks
期刊介绍: Eye & Contact Lens: Science and Clinical Practice is the official journal of the Contact Lens Association of Ophthalmologists (CLAO), an international educational association for anterior segment research and clinical practice of interest to ophthalmologists, optometrists, and other vision care providers and researchers. Focusing especially on contact lenses, it also covers dry eye disease, MGD, infections, toxicity of drops and contact lens care solutions, topography, cornea surgery and post-operative care, optics, refractive surgery and corneal stability (eg, UV cross-linking). Peer-reviewed and published six times annually, it is a highly respected scientific journal in its field.
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