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首页> 外文期刊>Arquivos Brasileiros de Oftalmologia >Ceratoplastia endotelial da membrana de Descemet em olhos pseudofácicos multifocais
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Ceratoplastia endotelial da membrana de Descemet em olhos pseudofácicos multifocais

机译：多焦假晶状体眼中Descemet的膜内皮角膜移植术

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摘要

Purpose: This report describes the use of Descemet membrane endothelial keratoplasty for the management of endothelial decompensation after multifocal intraocular lens implantation. Methods: In this retrospective study, we reviewed and assessed the surgical outcomes of 9 patients (9 eyes) who underwent Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation. Results: Corneal edema occurred due to Fuchs endothelial corneal dystrophy (n=3), pseudophakic bullous keratopathy (n=3), Descemet’s membrane detachment (n=2), and toxic anterior segment syndrome (n=1). The Descemet membrane endothelial keratoplasty surgeries were uneventful in all eyes, but rebubbling procedures were necessary in 2 eyes. One month after the surgery, all the corneas were clear. After 6 months, excluding 1 eye with amblyopia, the mean distance corrected visual acuity was 0.10 logMAR, with all eyes achieving 0.18 logMAR or better. Conclusions: This is the first report of Descemet membrane endothelial keratoplasty after multifocal intraocular lens implantation, and it suggests that good results can be achieved without multifocal intraocular lens exchange.
机译：目的：该报告描述了多焦点人工晶状体植入后Descemet膜内皮角膜移植术治疗内皮失代偿的用途。方法：在这项回顾性研究中，我们回顾并评估了9例（9眼）多发性人工晶状体植入术后行Desmet膜内皮角膜移植术的患者的手术结局。结果：角膜水肿是由于Fuchs内皮角膜营养不良（n = 3），假晶状体大疱性角膜病变（n = 3），Descemet膜脱离（n = 2）和中毒性眼前节综合征（n = 1）引起的。 Descemet膜内皮角膜移植手术在所有眼睛中均正常，但有2只眼睛需要重新起泡。手术一个月后，所有角膜都清除了。 6个月后，不包括1只弱视眼，平均距离矫正视力为0.10 logMAR，所有眼睛均达到0.18 logMAR或更好。结论：这是多焦点人工晶状体植入后Descemet膜内皮角膜移植术的首次报道，这表明不用多焦点人工晶状体更换就可以取得良好的效果。

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