关键词: Brittle cornea syndrome Cataract surgery Ehlers-Danlos syndrome Intraoperative complications Keratoglobus Postoperative management

来  源:   DOI:10.1016/j.ajoc.2024.102120   PDF(Pubmed)

Abstract:
UNASSIGNED: This case report delineates the intricacies and challenges encountered in cataract surgery in Ehlers-Danlos syndrome type VI presenting with advanced Keratoglobus (KG), severe cataract and brittle cornea.
UNASSIGNED: Despite meticulous planning and intraoperative precautions, including phacoemulsification with reduced intraocular pressure (low bottle height), the patient experienced corneal ruptures necessitating a shift to Extra Capsular Cataract Extraction (ECCE). Postoperative management involved corneal suturing and vigilant follow-up.
UNASSIGNED: Cataract surgery in patients with brittle cornea poses significant challenges due to extreme corneal fragility. Exhaustive pre-operative assessment, careful intraoperative techniques, and vigilant postoperative care are paramount for successful outcomes in these complex cases.
摘要:
本病例报告描述了在Ehlers-Danlos综合征VI型白内障手术中遇到的复杂性和挑战,表现为高级Keratoglobus(KG),严重白内障和脆性角膜。
尽管精心的计划和术中的预防措施,包括眼压降低(低瓶高)的白内障超声乳化术,患者出现角膜破裂,需要转行白内障囊外摘除术(ECCE).术后管理包括角膜缝合和警惕的随访。
脆性角膜患者的白内障手术由于角膜极度脆性而面临重大挑战。详尽的术前评估,仔细的术中技术,在这些复杂病例中,警惕的术后护理对于取得成功至关重要.
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