| 발표일자: |
2018년 11월 2일(금) ~ 11월 4(일) |
| 발표번호: |
P(e-poster)-321 |
| 발표장소: |
코엑스 컨퍼런스룸 3층 301 A-B |
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| 가시아메바각막염 후 시행한 심부표층각막이식술: 증례보고 |
| 울산대학교 의과대학 서울아산병원 안과학교실 |
| 이창목, 김모세, 이진아, 김재용, 김명준, 차흥원 |
| 본문 : Purpose: To describe deep lamellar keratoplasty (DALK) as a surgical alternative to penetrating keratoplasty in the management of Acanthamoeba keratitis.
Methods: Interventional case series of 6 eyes (4 patients) affected by Acanthamoeba keratitis. We performed DALK in patients with Acanthamoeba keratitis. Cannula big bubble and “layer-by-layer” manual dissection techniques were performed. Episodes of rejection, postoperative endothelial cell density, and the best spectacle-corrected visual acuity were evaluated. Mean follow-up was approximately 2 years.
Results: Six descemetic DALK were performed. One small Descemet membrane rupture occurred. No recurrence of Acanthamoeba infection occurred after surgery. The postoperative average best spectacle-corrected visual acuity was 0.8 (range, 0.6–1.0). No case of rejection was recorded.
Conclusions: DALK with total removal of infected stromal tissue may be performed in cases of Acanthamoeba keratitis, which ordinarily may require penetrating keratoplasty. Advantages of DALK in infectious keratitis include less risk of intraocular entry of infectious organisms at the time of surgery and the potential for improved graft survival rates caused by less endothelial rejection and failure. |
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