Relaxing descemetotomy: microscope-integrated OCT-guided technique for acute corneal hydrops.
JCRS Online Case Rep
; 12(2)2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38737364
ABSTRACT
Introduction:
3 cases are used to illustrate the technique of Descemet membrane (DM) relaxing incisions followed by air descemetopexy for the management of patients with acute corneal hydrops. Patients and ClinicalFindings:
In each case, anterior-segment optical coherence tomography (OCT) demonstrated taut DM detachments and hydrops was refractory to conservative medical management and intracameral air injection. Diagnosis Intervention andOutcomes:
To facilitate the reapproximation of DM and potentiate corneal deturgescence, intraoperative OCT-guided descemetotomy was performed with bent surgical scissors and a bent 30-gauge needle. Subsequent air descemetopexy was successful, and DM reattachment was maintained postoperatively. Corneal edema improved in all patients relatively rapidly postoperatively.Conclusions:
Relaxing descemetotomy with air descemetopexy may be useful in cases of acute corneal hydrops with taut DM detachments that are unresponsive to air tamponade alone.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
JCRS Online Case Rep
Ano de publicação:
2024
Tipo de documento:
Article