{"title":"深前板层角膜移植术（DALK）后双前房延迟自发消退。","authors":"Poramaporn Luangprasert, Passara Jongkhajornpong, Kaevalin Lekhanont, Manachai Nonpassopon, Varintorn Chuckpaiwong","doi":"10.1186/s12886-024-03819-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study reports a rare case of delayed spontaneous resolution of double anterior chambers (AC) resulting from non-rhegmatogenous Descemet membrane detachment (DMD) after deep anterior lamellar keratoplasty (DALK). Currently, management guidelines for this condition have not been established.</p><p><strong>Case presentation: </strong>A 65-year-old woman with lattice corneal dystrophy underwent uncomplicated DALK, during which an unrecognized type 2 big bubble was present. On postoperative day 1, a total DMD was observed, and descemetopexy was attempted. After an unsuccessful air-filled descemetopexy, we opted for observation without further intervention. Spontaneous reattachment of Descemet membrane with a clear cornea was achieved at 3 months postoperatively. The endothelial cell count was 2,165 cells/ mm<sup>2</sup>.</p><p><strong>Conclusions: </strong>The spontaneous resolution of double AC in patients with DMD without visible perforation after DALK suggests that a \"wait and observe\" approach can be a reasonable and effective management strategy.</p>","PeriodicalId":9058,"journal":{"name":"BMC Ophthalmology","volume":"24 1","pages":"553"},"PeriodicalIF":1.7000,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684058/pdf/","citationCount":"0","resultStr":"{\"title\":\"Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK).\",\"authors\":\"Poramaporn Luangprasert, Passara Jongkhajornpong, Kaevalin Lekhanont, Manachai Nonpassopon, Varintorn Chuckpaiwong\",\"doi\":\"10.1186/s12886-024-03819-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This study reports a rare case of delayed spontaneous resolution of double anterior chambers (AC) resulting from non-rhegmatogenous Descemet membrane detachment (DMD) after deep anterior lamellar keratoplasty (DALK). Currently, management guidelines for this condition have not been established.</p><p><strong>Case presentation: </strong>A 65-year-old woman with lattice corneal dystrophy underwent uncomplicated DALK, during which an unrecognized type 2 big bubble was present. On postoperative day 1, a total DMD was observed, and descemetopexy was attempted. After an unsuccessful air-filled descemetopexy, we opted for observation without further intervention. Spontaneous reattachment of Descemet membrane with a clear cornea was achieved at 3 months postoperatively. The endothelial cell count was 2,165 cells/ mm<sup>2</sup>.</p><p><strong>Conclusions: </strong>The spontaneous resolution of double AC in patients with DMD without visible perforation after DALK suggests that a \\\"wait and observe\\\" approach can be a reasonable and effective management strategy.</p>\",\"PeriodicalId\":9058,\"journal\":{\"name\":\"BMC Ophthalmology\",\"volume\":\"24 1\",\"pages\":\"553\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-12-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684058/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12886-024-03819-6\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12886-024-03819-6","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK).
Background: This study reports a rare case of delayed spontaneous resolution of double anterior chambers (AC) resulting from non-rhegmatogenous Descemet membrane detachment (DMD) after deep anterior lamellar keratoplasty (DALK). Currently, management guidelines for this condition have not been established.
Case presentation: A 65-year-old woman with lattice corneal dystrophy underwent uncomplicated DALK, during which an unrecognized type 2 big bubble was present. On postoperative day 1, a total DMD was observed, and descemetopexy was attempted. After an unsuccessful air-filled descemetopexy, we opted for observation without further intervention. Spontaneous reattachment of Descemet membrane with a clear cornea was achieved at 3 months postoperatively. The endothelial cell count was 2,165 cells/ mm2.
Conclusions: The spontaneous resolution of double AC in patients with DMD without visible perforation after DALK suggests that a "wait and observe" approach can be a reasonable and effective management strategy.
期刊介绍：
BMC Ophthalmology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of eye disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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