玻璃体平面膜切除术后获得性巩膜前葡萄肿合并角膜穿孔1例

Murat ERDAĞ, Mehmet CANLEBLEBİCİ, Ali DAL, Hakan YILDIRIM
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摘要

我们报告一位二十六岁的女性病患,因右眼玻璃体晶状体脱落而导致视力不佳。患者行玻璃体切除手术。然而,由于角膜水肿,巩膜固定被推迟。2个月后以眼痛主诉就诊。患者被发现有角膜穿孔和虹膜脱垂。进行紧急手术,将虹膜组织重新定位后,缝合角膜缺损,并在缺损处移植羊膜。角膜缺损愈合,前葡萄肿无进展。病人的潜在条件被怀疑是先天性结缔组织疾病。先天性组织疾病患者玻璃体切除术后可能发生前葡萄肿,这些患者首选羊膜闭合以获得更好的愈合过程。
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A Case of Acquired Anterior Scleral Staphyloma and Corneal Perforation After Pars Plana Vitrectomy and Treatment with Amniotic Membrane
This is a case report of a 26-year-old female patient who presented with poor vision due to a vitreous lens drop of her right eye. The patient underwent pars plana vitrectomy. However, scleral fixation was postponed due to corneal edema. She presented to the clinic 2 months later with complaints of eye pain. The patient was found to have a corneal perforation and iris prolapse. Emergency surgery was performed, and after the iris tissue were repositioned, the corneal defect was sutured and an amniotic membrane was transplanted onto the defect. The corneal defect healed, and the anterior staphyloma did not progress. The patient's underlying condition was suspected to be a congenital connective tissue disorder. Anterior staphyloma may develop after vitrectomy in patients with congenital tissue disease, and amniotic membrane closure may be preferred in these patients for better healing process.
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