在眼睛中的Descemet膜内皮皮质 keratoplasty,眼睛的玻璃眼
Bryan Le1,2, Clémence Bonnet1,3, Madeline Yung1
1Stein Eye Institute, Department of Ophthalmology, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Taiwan journal of ophthalmology
|May 30, 2023
概括
德塞梅特膜内皮质角膜整形术 (DMEK) 提供了优越的内皮功能障碍的结果,即使是伴并发性玻璃眼. 修改手术技术和术后护理可以确保成功的DMEK在眼患者,尽管潜在的风险,如移植失败.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 视光眼管理 视光眼管理
背景情况:
- 内皮功能障碍需要角膜整形,而Descemet膜内皮角膜整形 (DMEK) 与Descemet剥离内皮角膜整形 (DSEK) 相比具有优势.
- 许多需要DMEK的患者同时患有青光眼,这给他们带来了独特的外科手术挑战.
研究的目的:
- 为了评估DMEK在患有并发性玻璃眼患者的疗效和安全性,考虑到以前的玻璃眼手术.
- 为了确定潜在的并发症和必要的修改,成功地DMEK在这个患者群体.
主要方法:
- 审查DMEK手术的眼睛与先前存在的青光眼,包括那些有先前的带切除术或管道短路.
- 分析手术修改和术后管理策略,以减轻风险.
主要成果:
- 与DSEK相比,DMEK提供了优越的视力恢复和降低的排斥率,即使在具有绿眼病史的复杂眼睛中也是如此.
- 潜在的并发症包括加速的内皮细胞损失,移植失败和术后眼睛高血压,特别是在接受医学治疗的玻璃眼病患者中.
结论:
- 通过适当的外科手术和术后修改,DMEK可以在青光眼患者中实现出色的视觉结果.
- 虽然成功,但长期的DMEK移植存活率可能会降低,眼睛有史以来的玻璃眼瘤手术.
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