Corneal edema resolution after "descemetorhexis"

Corneal edema resolution after "descemetorhexis"
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角膜水肿在 "角膜切除术 "后消退

DOI:
10.1016/s0886-3350(02)01984-3
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发表时间:
2003-07-01
影响因子:
2.8
通讯作者:
Odrich, MG
Odrich, MG
中科院分区:
医学2区
文献类型:
--
作者:
Braunstein, RE;Airiani, S;Odrich, MG

文献摘要

被引文献

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一位79岁的女性接受了左眼超声乳化术,并意外切除了后弹力膜(DM)。术后第1天视力数指,角膜弥漫性水肿。患者接受了药物治疗,角膜水肿在6个月的时间里逐渐消退。随着水肿的消退,DM撕裂边缘可见,中心无内皮细胞计数。术后1年左右,右眼中央内皮细胞计数为2114个/mm(2),左眼为827个/mm(2)。细胞计数的减少、多形性和多形性的增加表明,在没有DM的情况下,内皮细胞迁移到覆盖基质表面的区域。(C)2003年《儿童权利公约》和《经济、社会和文化权利公约》。
A 79-year-old woman had left eye phacoemulsification complicated by inadvertent excision of Descemet's membrane (DM). One day postoperatively, the visual acuity was counting fingers with diffuse corneal edema. The patient was treated medically, with gradual resolution of the corneal edema over a 6-month period. The torn edge of DM could be visualized as the edema cleared, and no endothelial cell count could be obtained centrally. Approximately 1 year postoperatively, the central endothelial cell count was 2114 cells/mm(2) in the right eye and 827 cells/mm(2) in the left eye. The decreased cell count, increased polymegethism, and pleomorphism suggested that endothelial cells migrated to cover the stromal surface area in the absence of DM. (C) 2003 ASCRS and ESCRS.