Unexpected corneal endothelial cell decompensation after intraocular surgery with instruments sterilized by plasma gas
Autor: | Carol A Smith, Henry F. Edelhauser, Gerald J Roper, Rosemary E. Duffy, Johnny M Khoury, Steven M Shields, Anthony J. Lubniewski |
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Rok vydání: | 2000 |
Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures Eye disease medicine.medical_treatment Visual Acuity Intraocular lens Pupil Disorders Cornea Humans Medicine Decompensation Aged Retrospective Studies Aged 80 and over Phacoemulsification Corneal Decompensation business.industry Corneal Edema Endothelium Corneal Sterilization Syndrome Middle Aged medicine.disease eye diseases Surgery Zinc Ophthalmology medicine.anatomical_structure Equipment Contamination Female sense organs medicine.symptom business Complication Copper |
Zdroj: | Ophthalmology. 107:1561-1566 |
ISSN: | 0161-6420 |
Popis: | Purpose Ten cases of unexpected corneal endothelial cell decompensation occurring after routine intraocular surgery using instruments sterilized with a new plasma gas protocol are described. Design A retrospective observational case series with 1 year of follow-up was conducted. Results All patients had corneal decompensation and nonreactive pupils after surgery. Six patients required penetrating keratoplasty. Three patients partially recovered pupillary function. Visual acuity at 1 year ranged from 20/20 to hand motion (HM). One patient with an anterior chamber intraocular lens (ACIOL) experienced optic atrophy and HM vision despite resolution of corneal edema. Conclusions Toxic corneal endothelial cell destruction syndrome was associated with the introduction of plasma gas sterilization protocols. |
Databáze: | OpenAIRE |
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