NR 5/2003
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Jednoczasowy przeszczep drążący rogówki z
witrektomią przez pars plana
Pars plana vitrectomy with corneal transplantation -
combined procedure
Jerzy Szaflik, Maria Kmera-Muszyńska, Małgorzata Wojnarowska,
Piotr Fryczkowski
Z Katedry i Kliniki II Wydziału Akademii Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
The aim of our study is to present own observations with
Eckardt temporary keratoprosthesis, during combined pars plana vitrectomy and corneal
transplantation. We operated on two aphakic patients with unclear corneas and retinal
detachment - I case, phtisis bulbi after recurrent uveitis - II case. Eckardt
temporary keratoprosthesis was sutured to the corneal bed with 4 or 6 Ethilon 10,0 bites,
pars plana vitrectomy was performed followed by corneal transplantation and silicone oil
tamponade. We obtained good transplant clarity only in the I case, in the II case because
of hipotony and persistent contact of silicone oil with cornea, transplant was cloudy and
collapsed with small exception in the central area. After 3-rd month we noticed local
retinal detachment in the periphery, which was supressed with laser photocoagulations. We
think, that Eckardt temporary keratoprosthesis gives possibility to do vitrectomy in
patients with unclear cornea, which was in the past impossible. However, combined
procedure requires surgical skills in both: anterior and posterior segments of the eye. |
| Słowa kluczowe: |
czasowa keratoproteza, witrektomia, przeszczep rogówki. |
| Key words: |
temporary keratoprosthesis, vitrectomy, corneal
transplantation. |
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