Total Penetrating Keratoplasty: Indications, Therapeutic Approach, and Long-Term Follow-Up
Joint Authors
Wylęgała, Edward
Dobrowolski, Dariusz
Wroblewska-Czajka, Ewa
Lyssek-Boron, Anita
Krysik, Katarzyna
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-19
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
Evaluation of the indications, anatomical and functional results, and complications of total penetrating keratoplasty (TPK) in disorders involving whole cornea.
Materials and Methods.
We analyzed outcomes of the surgical treatment of 47 eyes of 46 patients that underwent TPK.
Indications were infectious keratitis, autoimmune disease, injury of the eyeball (mainly chemical burns), and other combined disorders.
The surgical technique involved dissection of affected tissues with a margin of 1.0 mm.
The size of the corneal graft ranged from 10.0 to 14.0 mm.
We analyzed indications, outcomes, and complications of surgery.
Results.
Final restoration of the ocular integrity and maintenance of the globe were achieved in 27 eyes (57%).
More than one surgery was necessary in a total of 29 eyes (62%).
The frequency of retransplantations did not vary significantly between the groups with different causes of corneal melting/perforation (63% of eyes with infection, 66% of eyes after trauma and 70% of eyes of patients with autoimmune disorders).
Surgical treatment failed in 20 eyes (43%).
Evisceration was necessary in 13 eyes (28%), phthisis occurred in 7 cases (15%).
Conclusion.
TPK should be considered as a last line treatment in huge corneal destruction to restore integrity of the eye globe.
American Psychological Association (APA)
Krysik, Katarzyna& Wroblewska-Czajka, Ewa& Lyssek-Boron, Anita& Wylęgała, Edward& Dobrowolski, Dariusz. 2018. Total Penetrating Keratoplasty: Indications, Therapeutic Approach, and Long-Term Follow-Up. Journal of Ophthalmology،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1197207
Modern Language Association (MLA)
Krysik, Katarzyna…[et al.]. Total Penetrating Keratoplasty: Indications, Therapeutic Approach, and Long-Term Follow-Up. Journal of Ophthalmology No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1197207
American Medical Association (AMA)
Krysik, Katarzyna& Wroblewska-Czajka, Ewa& Lyssek-Boron, Anita& Wylęgała, Edward& Dobrowolski, Dariusz. Total Penetrating Keratoplasty: Indications, Therapeutic Approach, and Long-Term Follow-Up. Journal of Ophthalmology. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1197207
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197207