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由于iatrogenic的大气泡形成导致的二次角度闭眼在手册中DALK对于肌肉退化:一种不寻常的呈现
Shreesha Kumar Kodavoor1, Pranessh Ravi1
1Department of Cornea and Refractive Services, The Eye Foundation, Coimbatore, Tamil Nadu, India.
Romanian journal of ophthalmology
|October 25, 2023
概括
发生了一种罕见的深前层状角膜整形术 (DALK) 的并发症,其中反向瞳孔阻塞导致了二次角度闭合光眼. 这种情况得到了成功治疗,恢复了良好的视力.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 深前面状角膜整形术 (DALK) 是一种手术程序,用于替换患病的角膜前层.
- 球状退行可能会损害视觉质量,需要角膜移植手术,如DALK.
- 手动DALK技术是当理想的外科条件,如"大气泡"的形成,没有实现时使用的.
研究的目的:
- 报告DALK期间在刚性角膜中的一个大气泡引起的逆瞳孔阻塞引起的二次角度闭眼的第一个病例.
- 强调识别和管理这种特殊并发症的重要性.
- 为了强调成功的分辨率和视觉结果.
主要方法:
- 一名65岁的男性因球状退行症的"大气泡"尝试失败后接受了手动DALK.
- 手术后的管理包括对眼内压力和前腔室动态的监测.
- 在术后第一天诊断出二次角度闭眼光.
- 干预涉及"大气泡"的减压,以缓解瞳孔堵塞.
主要成果:
- 患者在术后第一天由于宿主Descemet膜 (DM) 的反向瞳孔阻塞而发展出二次角度闭眼.
- "大气泡"的解压成功地解决了角度闭合.
- 患者在手术后1个月内取得了良好的视觉结果.
结论:
- 在DALK之后,由于刚性角膜中的"大气泡"引起的反向瞳孔阻塞,二次角度闭眼会发生.
- 及时识别和干预,如泡解压,对于成功管理至关重要.
- 这一案例强调了了解DALK技术相关的特定并发症的重要性.
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