Spontaneous reattachment of Descemet membrane detachment after deep anterior lamellar keratoplasty A case report

被引:10
作者
Lin, Xiaolei [1 ,2 ]
Wu, Yue [1 ,2 ]
Fu, Yana [1 ,2 ]
Dai, Qi [1 ,2 ]
机构
[1] Wenzhou Med Univ, Eye Hosp, Sch Ophthalmol & Optometry, 270 Xueyuan Rd, Wenzhou, Zhejiang, Peoples R China
[2] Minist Hlth, Key Lab Vis Sci, Wenzhou, Zhejiang, Peoples R China
关键词
deep anterior lamellar keratoplasty; Descemet membrane detachment; spontaneous reattachment; ENDOTHELIAL KERATOPLASTY; MANAGEMENT;
D O I
10.1097/MD.0000000000010032
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rationale: To report a case of late spontaneous reattachment of Descemet membrane (DM) detachment after deep anterior lamellar keratoplasty (DALK). Patient concerns: A 50-year-old woman with stromal corneal scarring underwent a DALK with the big bubble technique. The DM detachment and double anterior chamber were observed on the first day after operation. Diagnoses: Descemet membrane detachment after deep anterior lamellar keratoplasty [Oculus Dexter (OD), indicates right eye]. Interventions: Sterile air injection was unsuccessful. Conservative observation was performed. Outcomes: During the follow-up, the donor cornea kept transparent and no edema was observed. The DM reattached spontaneously at the fifth months post-DALK. Lessons: The present case suggests that the retained host DM may result in DM detachment after DALK. For the DM detachment without roll rim, the detachment may spontaneously reattach in several months after surgery.
引用
收藏
页数:3
相关论文
共 7 条
[1]   MANAGEMENT OF DESCEMETS-MEMBRANE DETACHMENT [J].
ASSIA, EI ;
LEVKOVICHVERBIN, H ;
BLUMENTHAL, M .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1995, 21 (06) :714-717
[2]   Update on diagnosis and management of Descemet's membrane detachment [J].
Chow, Vanissa Wing See ;
Agarwal, Tushar ;
Vajpayee, Rasik B. ;
Jhanji, Vishal .
CURRENT OPINION IN OPHTHALMOLOGY, 2013, 24 (04) :356-361
[3]   A Study of Host Corneal Endothelial Cells After Non-Descemet Stripping Automated Endothelial Keratoplasty [J].
Hatanaka, Hiroki ;
Koizumi, Noriko ;
Okumura, Naoki ;
Takahashi, Hiroaki ;
Tanioka, Hidetoshi ;
Young, Robert D. ;
Jones, Frances E. ;
Quantock, Andrew J. ;
Kinoshita, Shigeru .
CORNEA, 2013, 32 (01) :76-80
[4]   Long-term Outcomes of Deep Anterior Lamellar Keratoplasty Versus Penetrating Keratoplasty in Australian Keratoconus Patients [J].
MacIntyre, Ross ;
Chow, Sing-Pey ;
Chan, Elsie ;
Poon, Alexander .
CORNEA, 2014, 33 (01) :6-9
[5]   A new surgical technique for deep stromal, anterior lamellar keratoplasty [J].
Melles, GRJ ;
Lander, F ;
Rietveld, FJR ;
Remeijer, L ;
Beekhuis, WH ;
Binder, PS .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1999, 83 (03) :327-333
[6]   Histopathologic Features of Descemet Membrane Endothelial Keratoplasty Graft Remnants, Folds, and Detachments [J].
Mueller, Thomas M. ;
Verdijk, Robert M. ;
Lavy, Itay ;
Bruinsma, Marieke ;
Parker, Jack ;
Binder, Perry S. ;
Melles, Gerrit R. J. .
OPHTHALMOLOGY, 2016, 123 (12) :2489-2497
[7]  
Passani A, 2017, SAUDI J OPHTHALMOL, V31, P58, DOI 10.1016/j.sjopt.2017.01.003