The use of endoillumination probe-assisted Descemet membrane endothelial keratoplasty for bullous keratopathy secondary to argon laser iridotomy.
The use of endoillumination probe-assisted Descemet membrane endothelial keratoplasty for bullous keratopathy secondary to argon laser iridotomy.
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DOI：
10.2147/opth.s74981
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Sugiyama K
中科院分区：
文献类型：
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作者：
Kobayashi A;Yokogawa H;Yamazaki N;Masaki T;Sugiyama K
报告第一例氩激光虹膜切开术（ALI）继发大疱性角膜病变（BK）的Descemet膜内皮角膜移植术（DMEK）。一位71岁女性，因10年前ALI继发BK导致右眼视力下降。先行超声手术，4个月后行DMEK成功。使用DMEK射击器进行供体插入，即使前房很浅，也可以在供体插入期间保持稳定的前房。此外，去除水肿上皮细胞和内照度探针辅助的DMEK对于在亚洲人眼睛的深棕色虹膜背景下观察DMEK移植是非常有用的。1个月后患者最佳矫正视力由20/200迅速提高到25/20，角膜水肿完全消退。我们报道了第一例继发于ALI的BK的DMEK成功病例。使用DMEK射击器进行供体插入和内照辅助观察DMEK移植物是ALI继发BK的一种有用技术。
To report the first case of Descemet membrane endothelial keratoplasty (DMEK) for bullous keratopathy (BK) secondary to argon laser iridotomy (ALI). A 71-year-old woman presented with decreased visual acuity in her right eye due to BK secondary to ALI that was performed 10 years prior. Phacosurgery was performed first, followed by successful DMEK 4 months later. A DMEK shooter was used for donor insertion, which allowed for a stable anterior chamber during donor insertion, even when the anterior chamber was quite shallow. Also, removal of edematous epithelial cells and endoillumination probe-assisted DMEK was quite useful to visualize DMEK graft on the background of the dark brown iris seen in Asian eyes. The patient’s best corrected visual acuity rapidly increased from 20/200 to 25/20 after 1 month, with complete resolution of corneal edema. We reported the first successful DMEK case for BK secondary to ALI. The use of a DMEK shooter for donor insertion and endoillumination assistance to visualize the DMEK graft was a useful technique for BK secondary to ALI.