Infiltración corneal por perforación endotelial tardía por un segmento de anillo intraestromal

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2026-07-01 Epub Date: 2026-03-02 DOI:10.1016/j.oftal.2026.502504

P. Puy, D. Carrascosa, E. Redondo, M.I. Gabarrón, N. Toledano

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引用次数: 0

Abstract

Intrastromal rings have a high safety profile, with late complications being rare.

A clinical case is presented a patient who attended the emergency department due to photophobia and redness in the right eye with a two-day onset. A relevant medical history includes the implantation of an intrastromal corneal ring segment for keratoconus 11 years earlier.

Examination revealed a deep whitish stromal infiltration around the ring. After several weeks of antibiotic treatment, the decision was made to explant the ring. Preoperative optical coherence tomography demonstrated endothelial perforation at the site of the inf

iltration. Aqueous humour leakage was observed upon removal of the ring segment.

The patient reported notable symptomatic improvement following surgery.

We present a rare complication following the implantation of an intrastromal ring, initially suspected to be a stromal infiltration, which turned out to be an unusually late endothelial perforation.

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经口内环段穿孔后角膜浸润

星间环具有很高的安全性，晚期并发症很少见。一个临床病例提出了一个病人谁出席了急诊科因畏光和发红的右眼与两天发病。相关病史包括11年前的圆锥角膜植入术。检查发现环周围有深白色间质浸润。经过几周的抗生素治疗后，医生决定移植这个环。术前光学相干断层扫描显示浸润部位有内皮穿孔。切除环段后观察到房水渗漏。患者报告手术后症状明显改善。我们报告了一个罕见的并发症，在植入一个间质环后，最初怀疑是间质浸润，结果是一个不寻常的晚期内皮穿孔。

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

Archivos De La Sociedad Espanola De Oftalmologia Medicine-Ophthalmology

CiteScore

1.20

自引率

0.00%

发文量

109

审稿时长

78 days

期刊介绍： La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.