因晚期眼内炎而进行 DMEK 移植物摘除和玻璃体切割术后的视力恢复和内皮重植:病例报告。

IF 0.5 Q4 OPHTHALMOLOGY
Case Reports in Ophthalmology Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI:10.1159/000541644
Eszter Szalai, Michael W Belin, Zsuzsanna Szijártó, Adrienne Csutak
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引用次数: 0

摘要

导言:本研究旨在报告一例独特的病例,该病例在德斯梅尔膜内皮角膜移植术(DMEK)手术后发生晚期眼内炎,但临床疗效极佳,无需更换供体移植物:一位 67 岁的女性,曾接受过双侧白内障手术、福氏内皮营养不良症,左眼接受过假性 DMEK,在角膜移植术后 2 个月出现眼底炎。通过巩膜内冲洗、玻璃体旁切除术、巩膜内和玻璃体内抗生素治疗后,DMEK移植物被移除,但未更换移植物,最终获得了极佳的视觉效果(20/25):这是一例独特的 DMEK 手术后晚期眼内炎病例,需要移除移植物并进行玻璃体旁切除术,但无需更换供体即可获得极佳的视力恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Visual Recovery and Endothelial Repopulation after DMEK Graft Removal and Vitrectomy for Late Endophthalmitis: A Case Report.

Introduction: The aim of the study was to report a unique case with excellent clinical outcomes after late endophthalmitis following Descemet's membrane endothelial keratoplasty (DMEK) surgery requiring donor graft removal without replacement.

Case presentation: A 67-year-old female with a prior ocular history of bilateral cataract surgery, Fuchs endothelial dystrophy, and pseudophakic DMEK in the left eye presented with endophthalmitis 2 months after keratoplasty. DMEK graft removal without replacement with an intracameral washout, pars plana vitrectomy, intracameral, and intravitreal antibiotics resulted in an excellent visual outcome (20/25).

Conclusion: This is a unique case of late endophthalmitis following DMEK surgery requiring graft removal and pars plana vitrectomy with excellent visual recovery without donor replacement.

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来源期刊
CiteScore
0.90
自引率
0.00%
发文量
129
审稿时长
12 weeks
期刊介绍: This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.
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