Spontaneous resolution of Descemet membrane detachment after deep anterior lamellar keratoplasty

被引:16
作者
Tu, KL [1 ]
Ibrahim, M [1 ]
Kaye, SB [1 ]
机构
[1] Royal Liverpool Univ Hosp, St Pauls Eye Unit, Liverpool L7 8XP, Merseyside, England
关键词
Descemet membrane detachment; deep lamellar keratoplasty; penetrating keratoplasty; gas tamponade;
D O I
10.1097/01.ico.0000167882.86137.fb
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To describe a patient whose Descemet membrane detachment following deep lamellar keratoplasty failed to respond to 2 attempts at gas tamponade but later resolved spontaneously. Methods: A 77-year-old woman with bilateral anterior corneal stromal scarring underwent a right deep lamellar keratoplasty with the Melles technique. Postoperatively, she developed an inferior Descemet membrane detachment, presumably due to a peripheral inferior microperforation. Two attempts at gas tamponade with sulfur hexafluoride (SF6) and 12% perfluropropane (C3F8) were made. Results: Gas tamponade was unsuccessful. Five months after deep lamellar keratoplasty, the detachment resolved spontaneously. One year after deep lamellar keratoplasty, the donor cornea was clear, and best corrected visual acuity in the right eye was 20/40 with -2.75/+2.50 x 55. Conclusions: Descemet membrane detachment after deep anterior lamellar keratoplasty can resolve spontaneously, even after failed attempts at gas tamponade. Those due to peripheral inferior perforations may be less likely to respond to tamponade than central or superior perforations.
引用
收藏
页码:104 / 106
页数:3
相关论文
共 17 条
[1]  
Archila E A, 1984, Cornea, V3, P217
[2]   MANAGEMENT OF DESCEMETS-MEMBRANE DETACHMENT [J].
ASSIA, EI ;
LEVKOVICHVERBIN, H ;
BLUMENTHAL, M .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1995, 21 (06) :714-717
[3]   Sequestered viscoelastic after deep lamellar keratoplasty using viscodissection [J].
Bhojwani, RD ;
Noble, B ;
Chakrabarty, AK ;
Stewart, OG .
CORNEA, 2003, 22 (04) :371-373
[4]   DEEP LAMELLAR KERATOPLASTY ON AIR WITH LYOPHILIZED TISSUE [J].
CHAU, GK ;
DILLY, SA ;
SHEARD, CE ;
ROSTRON, CK .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1992, 76 (11) :646-650
[5]   Triple anterior chamber after full-thickness lamellar keratoplasty for lattice corneal dystrophy [J].
Hirano, K ;
Kojima, T ;
Nakamura, M ;
Hotta, Y .
CORNEA, 2001, 20 (05) :530-533
[6]   Late spontaneous resolution of a massive detachment of Descemet's membrane after phacoemulsification [J].
Iradier, MT ;
Moreno, E ;
Aranguez, C ;
Cuevas, J ;
Feijoo, JG ;
Sanchez, G .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2002, 28 (06) :1071-1073
[7]   Consecutive descemet membrane detachment after successive phacoemulsification [J].
Kansal, S ;
Sugar, J .
CORNEA, 2001, 20 (06) :670-671
[8]   Sulfur hexafluoride injection for Descemet's membrane detachment in cataract surgery [J].
Kremer, I ;
Stiebel, H ;
Yassur, Y ;
Weinberger, D .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1997, 23 (10) :1449-1453
[9]  
Loewenstein A, 1998, BRIT J OPHTHALMOL, V82, P205
[10]  
Manche EE, 1999, ARCH OPHTHALMOL-CHIC, V117, P1561