A new clinico-tomographic classification and management algorithm for Descemet's membrane detachment.
Objective: To propose a new clinico-tomographic classification of Descemet's detachment (DD).Methods: Interventional case series of 35 eyes with DD were clinico-tomographically classified as: (1)Rhegmatogenous DD (RDD)-lax, free floating DM secondary to DM tear/hole/dialysis; ASOCT showing undulatin...
| Publicado en: | Contact Lens & Anterior Eye Vol. 38; no. 5; pp. 327 - 334 |
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| Autores principales: | , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Elsevier B.V.
Oct2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109647466&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109647466 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13670484 KJM jtl: Contact Lens & Anterior Eye issn: 13670484 maglogo: N pubinfo: dt: Oct2015 vid: 38 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 109647466 109647466 NLM25936569 2013165897 10.1016/j.clae.2015.03.012 NLM25936569 109647466 ppf: 327 ppct: 7 formats: tig: atl: A new clinico-tomographic classification and management algorithm for Descemet's membrane detachment. aug: au: Jacob, Soosan Agarwal, Amar Chaudhry, Prashaant Narasimhan, Smita Chaudhry, Vidya Nair sug: ab: Objective: To propose a new clinico-tomographic classification of Descemet's detachment (DD).Methods: Interventional case series of 35 eyes with DD were clinico-tomographically classified as: (1)Rhegmatogenous DD (RDD)-lax, free floating DM secondary to DM tear/hole/dialysis; ASOCT showing undulating linear signal with total length equalling overlying stromal arc length. (2) Tractional DD (TDD)-foreshortened, taut DM with tractional/fibrotic component; ASOCT showing detached DM chord length less than overlying stromal arc length. (3) Bullous DD (BDD)-bulge of DM into AC in absence of DM break or needle puncture break too small to allow egress of contents; ASOCT showing convex signal. (4) Complex DD (CDD)-Complex variants and combinations seen clinically and on ASOCT.Results: RDD was most common (n=23), 19 were RDD with tear (post-surgical) treated by observation(n=3)/pneumodescemetopexy(n=16), 2 were RDD with hole due to inadvertent DM perforation in deep anterior lamellar keratoplasty treated by pneumodescemetopexy and fibrin glue, 2 were RDD with dialysis post-Descemetorhexis in Descemet's Membrane Endothelial Keratoplasty, not requiring treatment. TDD (n=4) was treated by relaxing Descemetotomy (n=3) or EK (n=1, poor endothelium); BDD (n=3) with two improving spontaneously; CDD (n=5) treated by refloatation with air (n=3)/EK (n=1)/penetrating keratoplasty (n=1).Conclusion: Treatment and prognosis of DD varies based on etio-morphology. This classification allows systematic approach for diagnosis, management and prognostication. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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