An alternative technique for Descemet's membrane detachment following phacoemulsification: case report and review of literature.
An alternative technique for Descemet's membrane detachment following phacoemulsification: case report and review of literature.
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超声乳化术后后弹力层脱离的替代技术：病例报告和文献综述
DOI：
10.1186/s12886-017-0506-3
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发表时间：
2017-06-29
影响因子：
2
通讯作者：
Shen-Tu XC
中科院分区：
文献类型：
--
作者：
Weng Y;Ren YP;Zhang L;Huang XD;Shen-Tu XC
Descemet的膜脱离（DMD）是现代白内障手术中最严重的并发症之一。我们提出了一种替代技术的管理与文献综述的当前策略的治疗DMD。一名74岁女性在超声乳化术后出现DMD，第一次空气填塞术失败。在这个罕见的病例中，我们使用了一种替代方法来排出退行前的液体并重新定位脱落的退行前膜。该技术包括用内窥镜内空气注射完全填充前房，然后用23号针刺穿周围角膜以排出角膜前积液。在随访期间，Descemet的膜完全重新附着在基质上。我们采用退血液引流联合肠腔内空气填塞作为治疗这一严重DMD病例的替代手术选择。
Descemet’s membrane detachment (DMD) is one of the most serious complications of modern cataract surgery. We present an alternative technique for management of DMD with a review of the literature on current strategies for the treatment of DMD. A 74-year-old woman developed DMD after phacoemulsification and failed the first descemetopexy with air tamponade. An alternative method was used to drain the pre-descematic fluid and reposition the detached Descemet’s membrane in this rare case. This technique involved completely filling the anterior chamber with an intracameral air injection, followed by using a 23-gauge needle to puncture the peripheral cornea to drain the pre-descematic fluid. The Descemet’s membrane was completely reattached to the stroma during the follow-up. Drainage of pre-descematic fluid combined with intracameral air tamponading was used as an alternative surgical option for the management of this severe case of DMD.