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Different compression sutures combined with intracameral air injection for acute corneal hydrops

International Journal of Ophthalmology(English edition) 2022年第9期15卷 1538-1543页

作者： Xin Liu Hua Li Shen Qu Qiao Yu Hui Lin Yan-Long Bi Department of Ophthalmology Tongji HospitalSchool of MedicineTongji UniversityShanghai 200092China Department of Ophthalmology Guizhou Provincial People’s HospitalGuiyang 550002Guizhou ProvinceChina

·AIM:To evaluate the efficacy and safety of full-thickness sutures combined with intracameral air injection(FTS-AI)versus pre-Descemet’s membrane sutures combined with intracameral air injection(PDS-AI)in the management of acute corneal hydrops in keratoconus.·METHODS:The research included 8 patients(8 eyes)suffering from acute corneal hydrops caused by *** patients were randomly assigned to *** the other four were randomly assigned to *** oedema,visual acuity,corneal thickness were assessed during follow-up.·RESULTS:The demographics,preoperative duration of symptoms and severity of corneal hydrops between the two groups were not significantly *** mean corneal oedema resolution time after FTS-AI and PDSAI were 11±1.15 and 15±1.41 d,respectively(P=0.005).The maximum corneal thickness of the scarred region decreased in both groups at one week postoperatively(P<0.05).No obvious difference was found in the mean maximal corneal thickness between the two groups *** BCVA improved significantly after FTS-AI and PDS-AI at three months *** obvious difference was found in the BCVA after FTS-AI and PDS-AI at three months postoperatively.·CONCLUSION:FTS-AI and PDS-AI are safe and effective therapies to accelerate the resolution of corneal oedema in acute corneal hydrops secondary to *** faster resolution of corneal oedema in the FTS-AI group,we recommend PDS-AI to avoid potential endothelium cell damage.

关键词： keratoconus acute corneal hydrops fullthickness sutures pre-Descemet’s membrane sutures intracameral air injection

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