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没有并发症的DMEK与白内障手术联合 (三重) DMEK后视网膜脱落率

Verena Schöneberger¹, Volkan Tahmaz¹, Leonie Menghesha¹

¹Department of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany ; and.

|May 1, 2024

概括

单独或与白内障切除一起的Descemet膜内皮切除手术 (DMEK) 在两年内具有类似的低风湿性视网膜脱落 (RRD) 发生率. 年轻的年龄和近视是DMEK后RRD的风险因素.

科学领域:

眼科医生眼科眼科
角膜外科手术角膜外科手术
视网膜外科手术视网膜外科手术

背景情况:

德斯梅特膜内皮质角质整形 (DMEK) 是一种现代的内皮质角质整形技术.
风湿性视网膜脱落 (RRD) 是眼科手术后的一种潜在并发症.

研究的目的:

为了确定RRD在DMEK后的发病率和风险因素.
为了比较单独DMEK和DMEK与白内障手术相结合的RRD率.

主要方法:

对接受DMEK的患者前数据库的回顾性分析.
包括连续出现Fuchs内皮角膜缩症的眼睛和至少1年的随访.
排除有复杂病史的眼睛或之前的视网膜/眼手术的眼睛.

主要成果:

在1961年分析的DMEK病例中,13只眼睛 (0.66%) 在两年内发展RRD.
单独使用DMEK (0.49%) 和将DMEK与白内障手术 (0.47%) 结合使用的RRD率相似.
年轻的年龄 (平均59.2岁) 和较高的近视 (球形相当于-4.69 D) 与增加的RRD风险有关.

结论:

在DMEK中,有或没有白内障手术,显示了类似的和低的术后RRD率.
较年轻的患者年龄和近视是DMEK后RRD的重要风险因素.
在手术期间的空气或气体吸管 (重新泡) 并没有影响RRD率.

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