无内皮移植的角膜后弹力层剥除术治疗Fuchs角膜内皮营养不良1例  

Fuchs corneal endothelial dystrophy treated with Descemet′s stripping without endothelial keratoplasty(DWEK):a case report

作　　者：丁文琦 杨青华[1] 黄一飞[1] 王丽强[1] Ding Wenqi;Yang Qinghua;Huang Yifei;Wang Liqiang(The Ophthalmology Division of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院眼科医学部,北京100853

出　　处：《中华眼科杂志》2022年第4期293-297,共5页Chinese Journal of Ophthalmology

基　　金：北京市自然科学基金(7212098)。

摘　　要：1例主诉为双眼进行性视力下降的患者就诊于眼科,入院诊断为双眼Fuchs角膜内皮营养不良(FECD);左眼黄斑裂孔;右眼人工晶状体眼。患者及家属在沟通后同意行左眼无内皮移植的角膜后弹力层剥除术(DWEK)。术后1年复诊左眼角膜透明,可见中央直径4.0 mm后弹力层缺失边界,裸眼视力0.1,矫正不提高,说明DWEK对于轻度FECD患者治疗效果良好。A patient with chief complaint of bilateral progressive visual impairment was diagnosed with Fuchs corneal dystrophy(FECD)in both eyes,macular hole in the left eye,and intraocular lens eye in the right eye.After communication with the patient and his family,they agreed to receive Descemet′s stripping without endothelial keratoplasty(DWEK)in the left eye.One year after the operation,the cornea of the left eye was transparent,and the central posterior elastic layer was missing about 4.0 mm diameter.The naked vision of left eye was 0.1,and the correction was not improved.It can be seen that DWEK surgery has a good therapeutic effect on patients with mild FECD.

关 键 词：Fuch角膜内皮营养不良 角膜移植 角膜后弹力层 治疗结果 

分 类 号：R779.6[医药卫生—眼科]