Abstract:
PURPOSE:To review the outcome of 3 techniques for managing type 2 bubbles (between Descemet's membrane [DM] and stroma) formed during big bubble (BB) deep anterior lamellar keratoplasty (DALK) in different corneal pathologies. METHODS:This is an interventional case series study of patients with type 2 bubbles formed during BB DALK. Three techniques to complete DALK are described: the first is a DM baring technique similar to Anwar's BB technique, the second is the microbubble incision technique to preserve the pre-Descemetic support to DM, and the third is done in eyes with combined type 1 and type 2 BB (mixed bubble), where the type 1 bubble is opened and surgery is completed avoiding the type 2 bubble. RESULTS:Thirty-one eyes of 31 patients were included. The DM baring technique has a high rate of conversion to penetrating keratoplasty (12 of 16 eyes). In the other 2 techniques (which did not bare DM), DALK could be completed in all 15 cases with intact DM. Double anterior chamber is a relatively common complication after type 2 BB, even with an intact DM. CONCLUSIONS:DM baring techniques should be avoided in eyes with type 2 BB. Instead, deep stromal dissection searching for an incomplete type 1 bubble or using one of the manual dissection techniques as a guide to the clear pre-Descemetic stroma is safer and more reliable.
journal_name
Corneajournal_title
Corneaauthors
Goweida MB,Ragab AM,Liu Cdoi
10.1097/ICO.0000000000001815subject
Has Abstractpub_date
2019-02-01 00:00:00pages
189-193issue
2eissn
0277-3740issn
1536-4798journal_volume
38pub_type
杂志文章相关文献
CORNEA文献大全abstract:PURPOSE:To determine the changes of corneal thickness and curvature of human corneal grafts in organ culture medium II, containing dextran T500 6%, before keratoplasty. METHODS:We examined the tomography of 24 corneas from our eye bank transferred from medium I into medium II. Images were repeated hourly during 24 hou...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000002543
更新日期:2020-12-04 00:00:00
abstract:PURPOSE:To assess donor rim culture results and outcomes of ocular infections in the Cornea Preservation Time Study (CPTS). METHODS:Donor corneal rim cultures were optional. Donor characteristics were assessed for association with positive cultures using the Fisher exact test and Poisson regression analyses. Incidence...
journal_title:Cornea
pub_type: 杂志文章,多中心研究
doi:10.1097/ICO.0000000000001654
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:To compare paired human corneas after storage at 4 degrees C in Chen medium (CM) and Optisol-GS medium (OM) for 7, 10, 14, and 21 days. METHODS:One cornea of each pair from nine human donors was randomly stored in either CM or OM, with its mate cornea stored in the other medium. Three pairs of corneas were sto...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-200011000-00005
更新日期:2000-11-01 00:00:00
abstract:PURPOSE:To evaluate the effect of various ceramides on the apoptosis of corneal fibroblasts and to determine the pathway on which they act. METHOD:Corneal fibroblasts isolated and cultured from New Zealand white rabbits were exposed to various concentrations of ceramide types II and VI and phytoceramide types II and V...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/01.ico.0000134000.52886.c3
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To compare the relative diagnostic value of confocal microscopy and superficial corneal cultures in the diagnosis of Acanthamoeba keratitis by using clinical and microbiologic definitions of disease. METHODS:Results of confocal microscopy, superficial corneal smear, and superficial corneal culture were analyze...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31816f27bf
更新日期:2008-08-01 00:00:00
abstract:PURPOSE:To report a case of delayed bilateral Descemet's detachment with spontaneous resolution in one eye following successful treatment of the fellow eye. METHOD:Case report. RESULTS:A 78-year-old male who underwent uncomplicated bilateral cataract extraction with phacoemulsification developed delayed bilateral Des...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e318197eef1
更新日期:2009-12-01 00:00:00
abstract::The many published studies on sterile procedures used by eye banks have included none until now on ways to optimize sterile handling of corneas procured in the morgues of forensic pathologists. The present study sought to discover if fewer positive cultures would be reported at the time of surgery from corneas which h...
journal_title:Cornea
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:To describe an impression cytology (IC) technique using a purpose-built, sterile, EYEPRIM IC device that can be coupled with a TRIzol reagent-based RNA extraction protocol to yield sufficient RNA for gene expression analysis. METHODS:IC samples using the EYEPRIM device were collected from the bulbar conjunctiv...
journal_title:Cornea
pub_type: 杂志文章,随机对照试验
doi:10.1097/ICO.0000000000001792
更新日期:2019-01-01 00:00:00
abstract::In recent years, deep lamellar keratoplasty (DLKP) has become an alternative surgical approach successfully applied to the treatment of opaque cornea with normal endothelial function. However, techniques for performing DLKP are not standardized and have not been perfected compared with penetrating keratoplasty. We dev...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31817f445f
更新日期:2008-09-01 00:00:00
abstract:PURPOSE:To report our experience in the treatment of intraepithelial neoplasia of the conjunctiva using topical bevacizumab. METHODS:Ten eyes of 10 patients with conjunctival neoplasia received 25 mg/mL bevacizumab topically. Changes in the lesions were documented weekly using digital photography. After topical treatm...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000194
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:To evaluate and compare corneal thickness in normal and dry eyes. METHODS:The Orbscan corneal topography system was used to measure the corneal thickness at nine locations in the central and peripheral (superior, superonasal, nasal, inferonasal, inferior, inferotemporal, temporal, superotemporal) cornea in 38 ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-199907000-00002
更新日期:1999-07-01 00:00:00
abstract:PURPOSE:The efficacy of gene therapy using nonviral vector based on polyplex micelle has been studied against corneal neovascularization in mice. METHODS:A block copolymer, poly(ethylene glycol) (PEG)-block-polycation carrying ethylenediamine units in the side chain (PEG-b-P[Asp(DET)]), was prepared. PEG-b-P[Asp(DET)]...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e318206c893
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:To describe the manual provocation test (MPT), a novel test for intermittent involutional entropion of the lower eyelid. METHODS:Retrospective review of patients with intermittent entropion who presented with ocular irritation and documented inward eyelid rotation by them or their referring physicians, but who...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000762
更新日期:2016-04-01 00:00:00
abstract::Penetrating keratoplasty (PKP) in conjunction with postoperative corticosteroids may reactivate latent herpes simplex virus type 1 (HSV-1) to cause persistent postoperative epithelial defects. The clinical diagnosis of HSV keratitis after penetrating keratoplasty is difficult because the postoperative appearance may b...
journal_title:Cornea
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:To report 2 cases of ocular chemical burns associated with the use of a swim goggle antifog agent and to review the literature for this and similar antifog products. METHODS:Case reports and systematic review of the medical literature, material safety data, product safety reports, and consumer reviews. RESULT...
journal_title:Cornea
pub_type: 杂志文章,评审
doi:10.1097/ICO.0000000000000706
更新日期:2016-02-01 00:00:00
abstract:PURPOSE:Recent new reports of possible iatrogenic transmission of Creutzfeldt-Jakob disease (CJD) in Europe have prompted renewed scrutiny of current Eye Bank Association of America criteria for evaluation of potential corneal donors in this country. A prior study evaluated the risk of CJD occurring in U.S. corneal don...
journal_title:Cornea
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:To report a case of partial limbal stem cell deficiency (LSCD) caused by epidermolysis bullosa dystrophica mutilans Hallopeau-Siemens treated by transplantation of autologous ex vivo expanded limbal epithelium. METHODS:Review of the clinical findings of an 11.5-year-old boy with unilateral LSCD and epidermolys...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181b442ea
更新日期:2010-04-01 00:00:00
abstract::A serial study was carried out with the scanning electron microscope every 5 h to examine the endothelial alterations that occur when the rabbit cornea remains in the eye after enucleation. The findings are compared with those encountered when the cornea with a scleral rim was removed from the globe immediately after ...
journal_title:Cornea
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:To determine the effects of single radial or horizontal suture placement in 2-step clear corneal incision (CCI) wound apposition and permeability to particles of India ink. METHODS:Five fresh human globes were included. Two 25-gauge needles connected to a saline solution bag and to a digital manometer were ins...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31824d0d45
更新日期:2013-03-01 00:00:00
abstract:PURPOSE:To report bilateral epibulbar xanthomatous lesions in an adult with a normal serum lipid profile and no cutaneous or systemic features of a histiocytic disease. METHODS:Clinicopathologic report. RESULTS:A 44-year-old man presented with gradually enlarging yellow epibulbar masses in both eyes. The lesions had ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181a3c419
更新日期:2010-02-01 00:00:00
abstract:PURPOSE:To establish determining factors for fast corneal sensitivity (CS) recovery after pterygium excision. METHODS:Thirty-two eyes of 14 males and 18 females with primary nasal pterygium were recruited. Differences in CS (in the 4 quadrants and the center using a Cochet-Bonnet esthesiometer), pterygium corneal area...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000932
更新日期:2016-12-01 00:00:00
abstract:PURPOSE:To assess the developments in contrast sensitivity, color vision, and subjective perception after Descemet membrane endothelial keratoplasty (DMEK) in patients with Fuchs endothelial corneal dystrophy (FECD). METHODS:Included in this study were pseudophakic, unilateral DMEK patients with bilateral FECD having ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000002320
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:To compare the effect of a 3- and 5-minute intraoperative application of topical mitomycin C 0.02% on the recurrence of pterygium. METHODS:A comparative, prospective clinical design was used. The study population consisted of 134 consecutive patients with unilateral primary advanced pterygium (growth of 3 mm o...
journal_title:Cornea
pub_type: 临床试验,杂志文章
doi:10.1097/00003226-200303000-00003
更新日期:2003-03-01 00:00:00
abstract::Epithelialization of uveal structures is frequently difficult to diagnose clinically and may require scanning and/or transmission electron microscopy to detect histologically. Since the scanning and transmission electron microscopic findings of progressive iris epithelialization have not previously been described, we ...
journal_title:Cornea
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::In order to evaluate the effect of a commonly used sodium hyaluronate preparation (Healon, Pharmacia AB, Uppsala, Sweden) on the incidence of endothelial rejection, endothelial cell loss, intraocular pressure, and corneal thickness after penetrating keratoplasty, we conducted a randomized clinical trial. Patients were...
journal_title:Cornea
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1990-10-01 00:00:00
abstract:PURPOSE:To describe the clinical signs of Descemet membrane (DM) detachment due to forceps-related birth injury and its subsequent management using optical coherence tomography. METHODS:Case report. RESULTS:A 3-day-old term infant presented with left eye corneal clouding and a definitive history of traumatic forceps-...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000001147
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:To evaluate and compare the in vitro antimicrobial activity of levofloxacin versus ciprofloxacin and ofloxacin against ocular isolates from patients with bacterial conjunctivitis. METHODS:The in vitro antimicrobial susceptibilities of ocular isolates to levofloxacin, ofloxacin, and ciprofloxacin were determine...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-200104000-00012
更新日期:2001-04-01 00:00:00
abstract:PURPOSE:To determine the epidemiology, risk factors, clinical features, and prognosis of fungal keratitis caused by Exserohilum. METHODS:All culture-proven cases of keratomycosis caused by Exserohilum presented from January 2012 to December 2014 were retrospectively analyzed using a computerized database. RESULTS:Amo...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000774
更新日期:2016-05-01 00:00:00
abstract:PURPOSE:To measure the refractive index (RI) of the human corneal stroma in vivo using an objective Abbé refractometer (VCH-1) and to determine if RI of the stroma is related to age. METHODS:VCH-1 was used to measure RI at the central anterior stroma immediately after lifting the flap in neophyte patients preselected ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31823f8a58
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of supratarsal triamcinolone injection in the treatment of superior limbic keratoconjunctivitis (SLK). METHODS:Forty eyes of 20 patients were diagnosed with SLK. All eyes with long-standing severe ocular irritation unresponsive to topical steroid and artificial tears were treated with ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e318030d230
更新日期:2007-05-01 00:00:00