By Luigi Mosca
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Extra info for Keratoplasties - Surgical techniques and complications
Perforating keratoplasty was performed in six cases. In four cases keratoplasty was performed as an emergency to save the eyeball (because of descemetocele), in two cases the operations were scheduled for visual rehabilitation. The emergency cases were the “late diagnostic” cases. Shape and size of keratoplasty and surgical techniques: All keratoplasties were perforating (penetrating), and central. All surgical procedures were done by two experienced surgeons. All cases were performed under retrobulbar anaesthesia.
It is much more common in therapeutic keratoplasties than in other indications. We report an incidence of 38,8%. In our center is much higher than in other reports because the quality of donor tissue in this type of keratoplasty is not as good as in optical procedures because of the relative paucity of corneal tissue in our country as well as the emergency under which this surgery is performed. Sharma et al. 2010 After the integrity of the globe is preserved and ocular inflammation has subsided, a smaller-diameter optical keratoplasty may be performed electively for visual rehabilitation Therapeutic Keratoplasty for Microbial Keratitis 29 Fig.
We used steroid or non-steroid agents against the inflammation in seven cases. Keratoplasty in Contact Lens Related Acanthamoeba Keratitis Fig. 1. Anterior segment of patient No 5 before keratoplasty with corneal abscess Fig. 2. 5 Indications for surgical intervention In one case we performed corneal abrasion, but as it proved ineffective we followed it up with perforating keratoplasty. Perforating keratoplasty was performed in six cases. In four cases keratoplasty was performed as an emergency to save the eyeball (because of descemetocele), in two cases the operations were scheduled for visual rehabilitation.
Keratoplasties - Surgical techniques and complications by Luigi Mosca