PDF(Pubmed)
Abstract：
A patient with history of previous right eye penetrating keratoplasty for viral keratitis presented with an inferonasal graft melt, loose sutures and a flat anterior chamber (AC) in the same eye. B-scan ultrasound revealed 360° choroidal detachment. Cyanoacrylate adhesive and bandage contact lens were placed to restore ocular integrity. About 5 weeks after the procedure, the glue was found inside the AC with healed corneal melt. An emergency procedure was planned to remove the intraocular glue to prevent long-term toxicity. During the procedure, glue was found adherent to the intraocular lens (IOL), which necessitated an IOL exchange. Following the procedure, the eye settled well with residual scarring and an uncorrected visual acuity of 6/60, which improved to 6/18 with a pinhole. We discuss this case of late dislocation of the glue into the AC, which was managed with an IOL exchange highlighting a rare complication of corneal glueing.
摘要：
既往有右眼穿透性角膜移植术治疗病毒性角膜炎的患者，表现为鼻下段移植物融化，同一只眼睛的缝合线和平坦的前房（AC）。B超显示脉络膜脱离360°。放置氰基丙烯酸酯粘合剂和绷带接触透镜以恢复眼部完整性。手术后大约5周，在已愈合的角膜融化的AC内发现了胶水。计划进行紧急程序以去除眼内胶水以防止长期毒性。在手术过程中,发现胶水粘附在人工晶状体（IOL）上，这就需要进行IOL交换。按照程序，眼睛沉降良好，留下疤痕，未矫正视力为6/60，针孔改善至6/18。我们讨论这种情况下的晚期错位的胶水进入AC，通过IOL交换进行管理，突出了罕见的角膜胶合并发症。
