角膜血肿伴眼内肿瘤复发

Q3 Medicine

American Journal of Ophthalmology Case Reports Pub Date : 2025-06-27 DOI:10.1016/j.ajoc.2025.102372

Oganes Georgievich Oganesyan , Daria Alexandrovna Gusak , Svetlana Vladimirovna Saakyan , Anush Gamletovna Amiryan , Sergey Victorovich Milash , Carolina Oganesyan

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引用次数: 0

摘要

目的在此，我们报告一例罕见的睫状体非色素腺瘤引起的复发性角膜血肿，并成功地进行了多次深前板层角膜移植术（DALK）。摘要一名27岁男性患者因角膜积血而导致其唯一正常的眼视力明显下降。最初的治疗是使用visco-DALK，使视力恢复到0.8。6个月后，复发性角膜血肿促使通过巩膜入路切除下层肿瘤，组织学证实为睫状体非色素腺瘤。再次行DALK手术，随后行超声乳化术和人工晶状体植入术，以预防白内障的发生。术后恢复顺利，视力稳定在0.8。结论和重要性：本病例强调了粘质dalk在维持角膜内皮完整性的同时治疗角膜血肿的可行性和有效性。该方法促进了后续的干预措施，包括肿瘤切除，重复DALK和白内障手术，具有良好的视力结果。

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Recurrence of hematocornea with intraocular neoplasm

Purpose

Herein, we report a rare case of recurrent hematocornea due to a non-pigmented adenoma of the ciliary body and its successful management with repeated deep anterior lamellar keratoplasty (DALK).

Observations

A 27-year-old man presented with significant visual acuity loss in his only functional eye due to hematocornea. Initial management involved visco-DALK, which restored visual acuity to 0.8. After 6 months, recurrent hematocornea prompted the removal of the underlying neoplasm through a scleral approach, which was histologically confirmed as a non-pigmented adenoma of the ciliary body. A repeat DALK was performed, followed by phacoemulsification with intraocular lens implantation for subsequent cataract development. Postoperative recovery was uneventful, and visual acuity stabilized at 0.8.

Conclusions and importance

This case highlights the feasibility and efficacy of visco-DALK in managing hematocornea while preserving endothelial integrity. The approach facilitated subsequent interventions, including neoplasm excision, repeat DALK, and cataract surgery, with favorable visual outcomes.

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来源期刊

American Journal of Ophthalmology Case Reports Medicine-Ophthalmology

CiteScore

2.40

自引率

0.00%

发文量

513

审稿时长

16 weeks

期刊介绍： The American Journal of Ophthalmology Case Reports is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished case report manuscripts directed to ophthalmologists and visual science specialists. The cases shall be challenging and stimulating but shall also be presented in an educational format to engage the readers as if they are working alongside with the caring clinician scientists to manage the patients. Submissions shall be clear, concise, and well-documented reports. Brief reports and case series submissions on specific themes are also very welcome.