术中部分厚度加压缝合治疗去层膜脱落:一项新技术

Anuradha Raj, Rajnish Raj
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引用次数: 0

摘要

:目的:评估在白内障手术中采用部分厚度经角膜压迫缝合术和空气脱膜术治疗脱落膜脱落(DMD)的疗效:这是一项回顾性研究,研究对象是在白内障超声乳化或小切口白内障手术中,因非平面性脱膜而接受部分厚度经角膜加压缝合术和空气脱膜术的原眼患者。 共发现 15 例病例,其中女性 11 例,男性 4 例,平均年龄 67 岁。所有参与研究的患者均顺利接受了白内障手术。15 例白内障手术中出现 DMD 的病例均由术中使用不同器械时造成的外伤引起。其中 5 例为周边型 DMD,10 例为中心型 DMD。非平面 DMD 的平均大小为 4 毫米。10例患者的DMD边缘呈卷曲状。八个患者在一个月后达到最佳矫正视力(BCVA)6/6,角膜清晰。随访两周时,德斯梅特膜(DM)完全附着。大约在一个月后进行了拆线。结论:在非平面 DMD 角膜上进行部分厚度的经角膜压迫缝合和空气脱膜术,对恢复白内障手术中的外伤性角膜水肿很有帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intraoperative partial thickness compression suturing for descemet’s membrane detachment: A Novel technique
: To evaluate the efficacy of partial thickness transcorneal compression suturing with air desmetopexy in descemet’s membrane detachment (DMD) during cataract surgery: This is a retrospective review of records of patients who were managed for non-planar DMDs during phacoemulsification or small incision cataract surgery with partial thickness suturing with air descemetopexy in virgin eyes. : A total of fifteen cases were identified including 11 females and 4 males with average age of 67 years. All patients involved in the study underwent uneventful cataract surgery. All 15 cases involved in the study with DMD during cataract surgery were caused by intra-operative trauma during different instrumentations. Five cases had peripheral DMDs and ten cases had central DMDs. The average size of non-planar DMD was 4 mm. Ten cases had DMDs with scrolled margins. Eight patients achieved the best corrected visual acuity (BCVA) of 6/6 at the end of one month with clear corneas. Descemet’s membrane (DM) got completely attached at two weeks follow-up. The suture removal was done approximately after one month of follow-up. : Partial thickness transcorneal compression suturing with air desmetopexy in non-planar DMD is very helpful in recovering traumatic corneal edema during cataract surgery.
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