Mesh : Humans Female Facial Transplantation / methods Visual Acuity Eye Burns / chemically induced diagnosis surgery Burns, Chemical / surgery diagnosis Adult Transplantation, Homologous Recovery of Function Prostheses and Implants Vitrectomy / methods Cornea

来  源:   DOI:10.5693/djo.02.2024.03.003   PDF(Pubmed)

Abstract:
The Boston Keratoprosthesis type I (KPro-I) has been shown to be successful in restoring vision after severe ocular burns; however, its long-term outcomes in phthisical eyes have rarely been reported. A monocular woman with a history of severe alkali chemical injury necessitating facial transplantation presented with a light perception left eye after a complicated course, including failed KPro-I, therapeutic penetrating keratoplasty, endophthalmitis, hypotony, total retinal detachment, and structural changes, including a shrunken 18 mm axial length and eye wall thickening. The patient underwent a combined vitrectomy with silicone oil and KPro-I implantation, resulting in her regaining ambulatory visual acuity (20/250) at 3 years\' follow-up.
摘要:
波士顿I型人工角膜(KPro-I)已被证明在严重眼烧伤后可成功恢复视力;但是,很少报道其在Phthical眼中的长期结果。一名患有严重碱性化学损伤史的单眼女性,需要在复杂的过程后进行面部移植,左眼具有光线感知,包括失败的KPro-I,治疗性穿透性角膜移植术,眼内炎,矮个子,视网膜完全脱离,和结构变化,包括收缩的18毫米轴向长度和眼壁增厚。患者接受了硅油和KPro-I植入的联合玻璃体切除术,导致她在3年随访时恢复了动态视力(20/250)。
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