DMEK IN KERATOCONUS WITH ACUTE HYDROPS: A CASE REPORT

Lucio V L Maranhão, P. E. Dantas, N. R. L. Ramalho, Wanessa P Pinto
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Abstract

We describe the initial results of a Descemet Membrane Endothelial Keratoplasty (DMEK) procedure for acute corneal hydrops in a 45-years female with keratoconus that presented with severe visual loss in the left eye (OS). The patients’ best-corrected visual acuity at presentation in the right eye was 20/80 and hand motion in OS. Slit-lamp examination revealed an extensive Descemet’s membrane tear and stromal corneal edema in OS. Two months after the DMEK procedure, the patient presented with a best corrected visual acuity of 20/200 in the affected eye, corneal edema improvement, and an attached Descemet graft.  
圆锥角膜伴急性积液的Dmek 1例
我们描述了一名45岁女性圆锥角膜患者的急性角膜积液的初步结果,该患者表现为左眼严重视力丧失。患者就诊时右眼最佳矫正视力为20/80,手部运动正常。裂隙灯检查显示OS患者有广泛的Descemet膜撕裂和角膜间质水肿。DMEK手术两个月后,患者患眼的最佳矫正视力为20/200,角膜水肿改善,并附有Descemet移植物。
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