- 期刊
- OpenAccess
Spontaneous Resolution of Corneal Edema after Accidentally Descemet's Membrane Stripping in Cataract Surgery
白內障術中意外撕除角膜彈力層造成角膜水腫後之自發性恢復
摘要
目的：報告一例於白內障術中意外撕除角膜彈力層造成角膜水腫後之自發性恢復。方法：病例報告。結果：一位60歲的男性因左眼白內障術後持續角膜水腫一個月就診。裂隙燈檢查顯示出中央角膜水腫以及在周邊的角膜有一個界線清楚、圓形的邊界（形狀及大小和連續環形後囊撕除術接近）。在數個月後，中央角膜逐漸的自發性恢復清澈。結論：針對在白內障術中意外的撕除後彈力層及內皮細胞所造成的表膜水腫，眼科醫師可以適當的預期會自發性的恢復，而不需要一開始就以手術介入治療（如全層角膜移植手術或角膜內皮細胞移植術）。然而適當的藥物治療是必須的。
關鍵字
無資料並列摘要
Purpose: To report the spontaneous resolution of corneal edema in a case invloving accidental stripping of Descemet's membrane during cataract surgery. Method: Case report. Results: A 60-year-old man presented with persistent corneal edema in the left eye one month after cataract surgery. Slit-lamp biomicroscopy revealed central corneal edema with a well-defined, circular margin (similar in size and shape to the continuous curvilinear capsulorhexis) on the posterior surface of the peripheral cornea. Spontaneous restoration of corneal transparency gradually occurred over one month. Conclusion: Surgeons should expect resolution of corneal edema without surgical intervention (penetrating keratoplasty or Descemet's stripping automated endothelial keratoplasty) following accidental removal of Descemet's membrane and endothelial cells during cataract surgery. However, medical treatment should be initiated.
延伸閱讀
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