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NR. 2/2009
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Diatermokoagulacja
wodniaka rogówki z opatrunkiem błony owodniowej – odległe
obserwacje
Hydrops Diathermocoagulation Assisted with Amniotic Membrane
Transplantation – Long-term Results
Dariusz Dobrowolski1,
Edward Wylęgała1,2, Dorota Tarnawska1,
Michał Milka1
1Oddział Okulistyczny Okręgowego Szpitala Kolejowego
w Katowicach
Ordynator: prof. dr hab. n. med. Edward Wylęgała
2Zakład Pielęgniarstwa i Społecznych Problemów
Medycznych Wydziału Opieki Zdrowotnej
¦l±skiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Edward Wylęgała |
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| Summary: |
Purpose: Long-term
outcomes of hydrops diathermocoagulation with amniotic
membrane transplantation.
Methods: Surgery was performed in 15 patients (6
women and 9 men; at mean age 31.14 ± 9.92 years) in
District Railway Hospital in Katowice from November 2005
to October 2008. Follow-up time was 1.5-3.5 years.
Diathermocoagulation was performed with 1mm tip, cornea
was then covered with amniotic membrane as a bandage. We
analysed: CCT, BCVA, patient’s comfort of life and
influence on further treatment of keratoconus.
Results: Corneal edema was cred in all oserved
patients in mean time 15.7 ± 5.78 days. Mean CCT 4 weeks
after surgery was 487.24 ± 19.57 µm, 8 weeks post op was
463.59 ± 17.21 µm. BCVA 4 weeks after surgery was mean
0.18 ± 0.28 (before surgey: 0.042 ± 0.27). Three
patients (20%) required in 2 years postoperative period
keratoplasty.
Conclusion: Diathermocoagulation reduces
effectively corneal edema in hydrops patients allowing
to dalay keratoplasty in selected patients. |
| Key words: |
diathermocoagulation,
hydrops. |
| Słowa kluczowe: |
diatermokoagulacja,
wodniak. |
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