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NR. 4(II)/2008
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Postępowanie w
perforacjach i głębokich owrzodzeniach rogówki
Management of Corneal Perforations and Deep Ulcers with Patch
Grafts
Dariusz Dobrowolski1,
Edward Wylęgała1,2, Dorota Tarnawska1,
Dominika Janiszewska1,2
1 Oddział Okulistyczny Okręgowego Szpitala Kolejowego
w Katowicach
Ordynator: prof. dr hab. n. med. Edward Wylęgała
2 Zakład Pielęgniarstwa i Społecznych Problemów
Medycznych,
Wydział Opieki Zdrowotnej, ¦l±skiego Uniwersytetu Medycznego w
Katowicach
Kierownik: prof. dr hab. n. med. Edward Wylęgała |
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| Summary: |
Purpose: Outcomes
of small diameter keratoplasty in corneal perforations
and deep ulcers.
Material and Methods: For the study 102 patients
(follow-up at least 6 months,) were qualified: 68 men
and 34 men, mean age 48.8
± 14.92 years. 108 procedures (77 in corneal
perforations and 31 in deep ulcers), were performed. We
applied grafts with diameter from 2.5 to 5 mm with
oversize of 0.75-1 mm. Visual outcomes and corneal
surface stability were analyzed.
Results: In 103 eyes we achieved stabile corneal
surface, 2 grafts were failed due to graft melting.
Among 103 eyes improvement of VA was achieved in 41 eyes,
47 required further procedures of penetrating
keratoplasty or cataract surgery. The best visual
outcomes were achieved in peripheral ulcers or
perforations, central changes usually required further
management or were connected with poor prognosis for
good vision. 18 eyes due to dry eye, no light
localization or retinal detachment (2 eyes) were
disqualified to other procedures.
Conclusions: Small diameter grafts are useful to
restore corneal integrity and corneal surface healing. |
| Key words: |
keratoplasty, perforation,
ulcer. |
| Słowa kluczowe: |
przeszczep rogówki,
perforacja, owrzodzenie. |
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