Perioperative nursing of Descemet stripping with endothelial keratoplasty for bullous keratopathy

VernacularTitle:角膜后弹力层剥除内皮移植术治疗大疱性角膜病变患者的围手术期护理
Author: Xuehua LIU ; Huiming XIAO ; Yingfeng SHAO ; Jiehui HUANG ; Huiqun HUANG
Publication Type:Journal Article
Keywords: Descemet membrane; Corneal transplantation; Nuring
From: Chinese Journal of Practical Nursing 2010;26(22):51-53
CountryChina
Language:Chinese
Abstract: Objective To discuss nursing care of patients underwent corneal Descemet stripping endothelial keratoplasty to treat bullous keratopathy. Methods 22 patients who underwent corneal Descemet stripping endothelial keratoplasty to treat bullous keratopathy accepted strengthened psychological care, perfect preoperatively preparation, to sleep in face-up supine position, meanwhile complications were observed and treated carefully. Results 22 patients could persist in sleeping in face-up position for 4days postoperatively. Graft shift occurred in two cases. And after gas reinjection the grafts adhered very well. Intraocular pressure rose in 7 cases .After timely treated these 7 patients were cured and discharged. Conclusions Careful preoperative evaluation and preparation could reduce postoperative complication. Strict measures to keep patients sleeping in face-up supine position, timely observation and treatment of complications should be important to ensure the success of the operation.