Dual lamellar keratoplasty combined with phacoemulsification and intraocular Lens implantation in a case of severe chemical burn.

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Luis Fernández-Vega-Cueto, Carlos Lisa, Rosa Alvarado-Villacorta, José F Alfonso
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引用次数: 0

Abstract

Purpose: To present successful visual rehabilitation of a patient who suffered from a severe chemical burn by performing a new alternative surgical approach termed dual lamellar keratoplasty combined with phacoemulsification and intraocular lens implantation.

Methods: A 45-year-old man with a history of caustic soda eye injury in his left eye leading to a limbal stem cell deficiency, persistent epithelial defect, corneal scarring, and progressive vision loss was admitted. No posterior segment alterations were noted. Once the ocular surface was stabilized, simple limbal epithelial transplantation was performed; however, deep corneal scarring, Descemet folds, and lens opacity were detected. Therefore, 6 months later, simultaneously Deep anterior lamellar keratoplasty (DALK) and Descemet stripping with automated endothelial keratoplasty (DSAEK), combined with cataract surgery was performed for visual rehabilitation.

Results: After 15 months of follow-up, anterior segment reconstruction was achieved, and visual acuity improved from hand motion to 0.5 LogMAR unit. No intraoperative or postoperative complications were noted.

Conclusion: This new modified procedure seems to be efficacy and safe for visual rehabilitation avoiding open-sky surgery-related risks by combining DALK, DSAEK and cataract surgery in a case of severe ocular burn.

重度化学烧伤双板层角膜移植联合超声乳化人工晶状体植入术1例。
目的:介绍一种新的替代手术方法,即双板层角膜移植术联合超声乳化和人工晶状体植入术,成功地恢复了严重化学烧伤患者的视力。方法:我们收治了一名45岁的男性患者,他的左眼有烧碱眼损伤史,导致角膜缘干细胞缺乏、持续性上皮缺损、角膜瘢痕和进行性视力丧失。后节段未见改变。一旦眼表稳定,进行单纯角膜缘上皮移植;然而,深度角膜瘢痕、Descemet褶皱和晶状体混浊被检测到。因此,6个月后,同时进行深前板层角膜移植术(DALK)和Descemet剥离与自动内皮角膜移植术(DSAEK),并联合白内障手术进行视力康复。结果:随访15个月,完成前段重建,视力由手部运动改善至0.5 LogMAR单位。无术中及术后并发症。结论:对于严重眼部烧伤的患者,采用DALK、DSAEK联合白内障手术治疗视力康复有效、安全,避免了开放性手术相关风险。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
372
审稿时长
3-8 weeks
期刊介绍: The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
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