Supplementary Material for: Descemet Membrane Detachment Triggered by Contrast-Enhanced Computed Tomography in a Patient with History of Penetrating Keratoplasty for Keratoconus Treatment
| العنوان: | Supplementary Material for: Descemet Membrane Detachment Triggered by Contrast-Enhanced Computed Tomography in a Patient with History of Penetrating Keratoplasty for Keratoconus Treatment |
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| المؤلفون: | Matsumoto D., Inoda S., Hayashi T., Kawashima H. |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | Medicine |
| الوصف: | Introduction: We report a case of late-onset Descemet membrane detachment triggered by contrast-enhanced computed tomography more than 30 years after penetrating keratoplasty for keratoconus and describe its successful treatment with air tamponade. Case Presentation: A 53-year-old woman with a history of uneventful penetrating keratoplasty more than 30 years ago for keratoconus presented with acute vision loss caused by corneal edema 2 days after undergoing contrast-enhanced computed tomography. Anterior segment optical coherence tomography (AS-OCT) revealed corneal stromal edema in the graft and Descemet’s fold, and partial Descemet membrane detachment without a tear. The patient received 0.1% betamethasone eye drops once every hour, along with sub-Tenon’s triamcinolone acetonide injection. Anti-inflammatory treatment improved corneal edema; however, the detachment area widened. Air tamponade facilitated complete Descemet membrane reattachment and improved corneal thickness with complete restoration of visual acuity. Conclusion: An immune response may have been involved in the progression of Descemet membrane detachment in this patient. Anti-inflammatory treatment may have facilitated Descemet membrane reattachment prior to air or gas tamponade. AS-OCT is an excellent imaging modality to detect Descemet membrane detachment in eyes with presumed late penetrating graft rejection or failure. |
| نوع الوثيقة: | dataset |
| اللغة: | unknown |
| Relation: | https://figshare.com/articles/dataset/Supplementary_Material_for_Descemet_Membrane_Detachment_Triggered_by_Contrast-Enhanced_Computed_Tomography_in_a_Patient_with_History_of_Penetrating_Keratoplasty_for_Keratoconus_Treatment/25340458 |
| DOI: | 10.6084/m9.figshare.25340458.v1 |
| الاتاحة: | https://doi.org/10.6084/m9.figshare.25340458.v1 https://figshare.com/articles/dataset/Supplementary_Material_for_Descemet_Membrane_Detachment_Triggered_by_Contrast-Enhanced_Computed_Tomography_in_a_Patient_with_History_of_Penetrating_Keratoplasty_for_Keratoconus_Treatment/25340458 |
| Rights: | CC BY 4.0 |
| رقم الانضمام: | edsbas.DD4C8E85 |
| قاعدة البيانات: | BASE |
| DOI: | 10.6084/m9.figshare.25340458.v1 |
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