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学科主题临床医学
Endothelial Keratoplasty: The Use of Viscoelastic as an Aid in Reattaching the Dislocated Graft in Abnormally Structured Eyes
Peng, Rong-mei; Hao, Yan-sheng; Chen, Hui-jin; Sun, Yan-xiu; Hong, Jing
刊名OPHTHALMOLOGY
2009-10-01
DOI10.1016/j.ophtha.2009.03.049
116期:10页:1897-1900
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Ophthalmology
研究领域[WOS]Ophthalmology
关键词[WOS]HEALON GV ; COMPLICATIONS ; SERIES
英文摘要

Purpose: To explore the feasibility of reattaching the dislocated graft with viscoelastic in abnormally structured eyes after Descemet-stripping automated endothelial keratoplasty (DSAEK).

Design: Retrospective case series.

Participants: Five pseudophakic bullous keratopathy cases (5 eyes) with a history of vitrectomy and/or iris-lens diaphragm injury.

Methods: After DSAEK, graft dislocation occurred in each of the 5 cases (5 eyes). We attempted to fill the anterior chamber (AC) with an air bubble to push up the dislocated graft, but this was not successful. We then injected balanced salt solution into the vitreous body to obtain normal intraocular pressure (IOP) and injected a small amount of viscoelastic (Healon GV) to support the AC. Next, we injected an air bubble into the AC.

Main Outcome Measures: The position of the grafts was checked with a slit lamp and anterior segment optical coherence tomography (AS-OCT). The IOP was observed with Goldmann tonometer. The best visual acuity was checked.

Results: As observed through the slit lamp and AS-OCT, the grafts reattached well in all patients. The IOP was normal in all patients except one, who had high IOP 1 month postoperatively. After receiving drug treatment, the patient′s IOP returned to normal. The grafts had slight edema on postoperative day 1, but became transparent between days 5 and 8.

Conclusions: Viscoelastic aided in the reattachment of the dislocated graft in eyes with a history of vitrectomy and/or iris-lens diaphragm injury. The presence of viscoelastic in the AC in the early period of post-DSAEK was well tolerated in this small series.

Financial Disclosure(s): The authors have no proprietary or commercial interest in any of the materials discussed in this article. Ophthalmology 2009; 116:1897-1900 (C) 2009 by the American Academy of Ophthalmology.

语种英语
WOS记录号WOS:000270794600010
项目编号30871315 ; 30670816
资助机构National Natural Science Foundation of China
引用统计
被引频次:14[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/61565
专题北京大学第三临床医学院_眼科
作者单位Peking Univ, Hosp 3, Ctr Eye, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Peng, Rong-mei,Hao, Yan-sheng,Chen, Hui-jin,et al. Endothelial Keratoplasty: The Use of Viscoelastic as an Aid in Reattaching the Dislocated Graft in Abnormally Structured Eyes[J]. OPHTHALMOLOGY,2009,116(10):1897-1900.
APA Peng, Rong-mei,Hao, Yan-sheng,Chen, Hui-jin,Sun, Yan-xiu,&Hong, Jing.(2009).Endothelial Keratoplasty: The Use of Viscoelastic as an Aid in Reattaching the Dislocated Graft in Abnormally Structured Eyes.OPHTHALMOLOGY,116(10),1897-1900.
MLA Peng, Rong-mei,et al."Endothelial Keratoplasty: The Use of Viscoelastic as an Aid in Reattaching the Dislocated Graft in Abnormally Structured Eyes".OPHTHALMOLOGY 116.10(2009):1897-1900.
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