Surgical management of spontaneous,lateonset Descemet membrane detachment after penetrating keratoplasty for keratoconus:a case report
作者机构：Department of OphthalmologyUniversity of AthensAthensGreece
出 版 物：《Eye and Vision》 (眼视光学杂志（英文）)
年 卷 期：2017年第4卷第1期
页 面：66-69页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Keratoconus Penetrating keratoplasty Spontaneous Descemet membrane detachment
摘 要：Background:To report a surgical method for treating corneal oedema in a case of late-onset Descemet membrane detachment after penetrating *** presentation:A 55-year old patient presented with sudden visual loss in his left eye 28 years after penetrating keratoplasty for ***-lamp biomicroscopy revealed a distortion of the corneal graft anatomy with protrusion of the graft and peripheral thinning and steepening in the residual host tissue,accompanied by corneal graft *** segment optical coherence tomography revealed detachment of Descemet membrane localized to the area of the graft *** proceeded with a full-thickness,partially circumferential incision in the graft-host junction,followed by repositioning and re-suturing of the graft in place,and intracameral air injection in order to achieve reattachment of Descemet ***:Corneal graft repositioning in combination with re-bubbling may represent an effective therapeutic option in keratoconic patients with peripheral thinning in the residual host corneal tissue and subsequent Descemet membrane detachment.
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