背景:角膜穿孔是一种眼科急症。角膜穿孔的常规处理可能与严重的并发症有关,尤其是在眼表疾病患者中。内皮角膜移植术已被建议作为治疗角膜穿孔的替代手术技术。我们介绍了一系列9例角膜穿孔和眼表疾病患者,并进行了二次补片内皮角膜移植术。
方法:这是一个回顾性病例系列,其中包括2016年至2022年在澳大利亚一家四级眼科医院进行的9种贴片内皮角膜移植术。手术技术与常规内皮角膜移植术相似,但未进行异型切除手术。
结果:回顾期间共治疗9例。9例中有8例视力改善。一例未能达到角膜构造目的。
结论:斑贴内皮角膜移植术是治疗眼表疾病患者角膜穿孔的安全辅助手术。
BACKGROUND: Corneal perforation is an ophthalmic emergency. The conventional management of corneal perforation can be associated with severe complications especially in patients with ocular surface disease. Endothelial keratoplasty has been suggested as an alternative surgical technique for the management of corneal perforations. We present a
case series of nine patients with corneal perforation and ocular surface disease managed with secondary patch endothelial keratoplasty.
METHODS: This is a retrospective
case series of nine patch endothelial keratoplasties performed between 2016 and 2022 at a quaternary eye hospital in Australia. The surgical technique is similar to conventional endothelial keratoplasty except descemetorhexis was not performed.
RESULTS: A total of 9 cases were treated during the review period. Eight of the nine cases had an improvement in visual acuity. One
case failed to achieve corneal tectonic objective.
CONCLUSIONS: Patch endothelial keratoplasty is a safe secondary procedure for the management of corneal perforations in patients with ocular surface disease.