Intraoperative Optical Coherence Tomography-Assisted Descemet Stripping Automated Endothelial Keratoplasty for Anterior Chamber Fibrous Ingrowth.
Cornea
; 36(6): 757-758, 2017 Jun.
Article
em En
| MEDLINE
| ID: mdl-28399038
ABSTRACT
PURPOSE:
Here, we present the first reported case of intraoperative optical coherence tomography (OCT)-assisted Descemet membrane stripping automated endothelial keratoplasty (DSAEK) in a patient with anterior segment fibrous ingrowth.METHODS:
A 61-year-old woman with corneal edema and chronic angle-closure glaucoma secondary to fibrous ingrowth after 2 glaucoma shunt device implantations underwent dissection and removal of anterior chamber fibrous ingrowth and DSAEK. The surgical techniques using intraoperative OCT and outcome are described.RESULTS:
Intraoperative OCT provided a clear dissection plane of the fibrous membranes in the anterior chamber and view of their relation to the iris and corneal endothelium, despite an opacified cornea. The placement of the donor lenticule and absence of interface fluid were also verified intraoperatively. The postoperative course was uncomplicated with satisfactory outcome.CONCLUSIONS:
We conclude that intraoperative OCT is a useful tool during DSAEK surgery, particularly in complicated cases such as anterior segment fibrous ingrowth and significant corneal edema.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Doenças da Córnea
/
Tomografia de Coerência Óptica
/
Ceratoplastia Endotelial com Remoção da Lâmina Limitante Posterior
/
Câmara Anterior
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article