■本案例研究描述了在先前接受Descemet剥离自动内皮角膜移植术(DSAEK)的患者中植入Xen45凝胶支架。角膜移植后青光眼可能会恶化,虽然药物治疗是实现眼内压(IOP)控制的一线治疗,当药物未达到目标IOP时,需要手术入路.
■2017年,患者在双眼中接受了低眼压滴眼液治疗假性剥脱性(PXF)青光眼。2017年5月,由于存在假晶状体大疱性角膜病变,在右眼上进行了DSAEK。IOP增加,对药物治疗有抵抗力,在角膜移植后观察到。2017年11月,植入了Xen45凝胶支架。
■患者在DSAEK手术后的青光眼手术治疗中使用Xen45凝胶支架植入治疗结果为阳性。该病例表现出良好的术后眼压控制,在短期和长期随访中,视力稳定,眼部移植健康。
■需要对这种特殊治疗形式的患者进行大量研究。然而,Xen45凝胶支架植入似乎是预防或限制先前接受DSAEK的患者青光眼的有希望的选择。这是一个简短的,减少术后炎症的微创手术,更快的视觉恢复和移植物损伤或低眼压的风险,即使在PXF青光眼的情况下。
UNASSIGNED: This
case study describes the implantation of a Xen45 Gel Stent in a patient that had previously undergone Descemet stripping automated endothelial keratoplasty (DSAEK). Glaucoma might worsen after corneal transplant, and while medical treatment is the first-line therapy to achieve intraocular pressure (IOP) control, a surgical approach is required when medication does not reach the target IOP.
UNASSIGNED: In 2017, the patient underwent treatment in both eyes with ocular hypotensive eye drops for pseudoexfoliative (PXF) glaucoma. In May 2017, DSAEK was performed on the right eye because of the presence of a pseudophakic bullous keratopathy. An increase in IOP, resistant to medical treatment, was observed after the corneal transplant. In November 2017, a Xen45 Gel Stent was implanted.
UNASSIGNED: The patient had a positive outcome with a Xen45 Gel Stent implant in surgical glaucoma treatment after DSAEK. The
case demonstrated excellent postoperative IOP control, stable vision and a healthy ocular graft at short-term and long-term follow-ups.
UNASSIGNED: Studies with larger numbers of patients in this particular form of therapy are required. Nevertheless, Xen45 Gel Stent implantation appears to be a promising option in preventing or limiting glaucoma in patients who have previously undergone DSAEK. It is a brief, minimally invasive procedure with reduced postoperative inflammation, faster visual recovery and a lower risk of graft damage or hypotony, even in the
case of PXF glaucoma.