Intraoperative anterior optical coherence tomography-guided synechiolysis in a post-penetrating keratoplasty patient with peripheral corneal opacification
| Autor: | Kattayoon Hashemi, Aleksandra Petrovic, Georgios Kymionis, Christina Gianniou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
genetic structures Case Report RM1-950 03 medical and health sciences 0302 clinical medicine Optical coherence tomography Ophthalmology Cornea 0502 economics and business Female patient peripheral anterior synechiae intraoperative optical coherence tomography medicine Pharmacology (medical) General Pharmacology Toxicology and Pharmaceutics Chemical Health and Safety medicine.diagnostic_test business.industry 05 social sciences Postoperative complication General Medicine penetrating keratoplasty eye diseases Peripheral Left eye medicine.anatomical_structure 030221 ophthalmology & optometry 050211 marketing Therapeutics. Pharmacology sense organs business Safety Research Peripheral anterior synechiae |
| Zdroj: | Therapeutics and clinical risk management, vol. 14, pp. 1387-1390 Therapeutics and Clinical Risk Management Therapeutics and Clinical Risk Management, Vol Volume 14, Pp 1387-1390 (2018) |
| Popis: | Aleksandra Petrovic,1,2 Christina Gianniou,1,2 Kattayoon Hashemi,1,2 Georgios Kymionis1,2 1Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Lausanne, Switzerland; 2Cornea and Refractive Surgery Department, Lausanne, Switzerland Purpose: The aim of this study was to describe intraoperative optical coherence tomography (OCT) as an adjunctive device for peripheral synechiolysis in a post-penetrating keratoplasty patient. Case report: A 75-year-old female patient presented for follow-up 9months after a penetrating keratoplasty in the left eye. She presented with anterior peripheral synechiae involving the graft for three clock hours. Peripheral native cornea appeared totally opaque. Synechiolysis was planned, and intraoperative OCT allowed us to detect nonclinically visible synechiae and to confirm complete synechiolysis immediately after surgery. No postoperative complication was recorded. Two months after surgery, the graft was clear and anterior segment OCT did not reveal any residual synechiae or recurrence. Conclusion: Intraoperative OCT is useful to overcome the difficulties in visualization through clinically opaque corneas, as it gives real-time feedback upon the anatomy, the extension of the remaining lesions, and the success of the surgery. Keywords: penetrating keratoplasty, peripheral anterior synechiae, intraoperative optical coherence tomography |
| Databáze: | OpenAIRE |
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