Late Dehiscence After Initial Successful EndoArt Implantation.

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY
O Ardelean, G Geerling, M Borrelli
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引用次数: 0

Abstract

Purpose: To report a case of late dehiscence of an EndoArt implant and its successful management 10 months after initial implantation.

Methods: Case report.

Results: A 73-year-old man with a history of multiple failed Descemet membrane endothelial keratoplasty procedures on the right eye underwent EndoArt implantation for bullous keratopathy. The initial surgery was successful with improved visual acuity and a well-attached implant. However, 10 months after implantation, the patient experienced decreased visual acuity because of implant dehiscence in the superior quadrant. A rebubbling procedure using 20% Schwefelhexafluorid (SF6) gas without additional corneal sutures was performed, resulting in successful reattachment of the implant.

Conclusions: Although EndoArt dehiscence typically occurs within the first 3 months after implantation, this case demonstrates that late dehiscence can occur even after prolonged implant attachment. Our report highlights the possibility of successful management through rebubbling without additional sutures and emphasizes the importance of extended follow-up for patients with this novel implant.

初步成功植入术后的晚期开裂。
目的:报告一例EndoArt种植体晚期开裂,并在首次种植10个月后成功处理。方法:病例报告。结果:一名73岁的男性,因多次右眼Descemet膜内皮角膜移植术失败,接受了大疱性角膜病变的EndoArt植入术。最初的手术很成功,视力得到了改善,植入物也附着良好。然而,植入10个月后,由于植入物在上象限裂开,患者的视力下降。使用20%施韦费尔六氟气体(SF6)进行再泡处理,无需进行额外的角膜缝合线,成功地将植入物重新附着。结论:虽然EndoArt开裂通常发生在植入后的前3个月内,但本病例表明,即使在长时间的种植体附着后,也可能发生晚期开裂。我们的报告强调了通过重新冒泡而无需额外缝线成功治疗的可能性,并强调了对这种新型种植体患者进行长期随访的重要性。
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
Cornea
Cornea 医学-眼科学
CiteScore
5.20
自引率
10.70%
发文量
354
审稿时长
3-6 weeks
期刊介绍: For corneal specialists and for all general ophthalmologists with an interest in this exciting subspecialty, Cornea brings together the latest clinical and basic research on the cornea and the anterior segment of the eye. Each volume is peer-reviewed by Cornea''s board of world-renowned experts and fully indexed in archival format. Your subscription brings you the latest developments in your field and a growing library of valuable professional references. Sponsored by The Cornea Society which was founded as the Castroviejo Cornea Society in 1975.
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