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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Recenzenci Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
4/2010
vol. 112
 
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Artykuł oryginalny

Wyniki epikeratoplastyki tektonicznej w leczeniu perforacji rogówki

Eulalia Machowicz-Matejko
1
,
Ewa Rakowska
1
,
Zbigniew Zagórski
1

  1. Z Kliniki Okulistyki Uniwersytetu Medycznego w Lublinie
Data publikacji online: 2010/12/22
Pełna treść artykułu Pobierz cytowanie
 


Purpose: To present therapeutic application of tectonic epikeratoplasty as biological patch in severe ocular surface disorders.

Material and methods: Full thickness corneo-scleral transplants, 14 mm in diameter were used in 67 operations of 41 patients

with corneal perforation or descemetocele. (14 women and 27 men), in the period 1998-2008. The mean age of patients was

55.2 ± 17.7 years (range 15-82). The transplants were sutured over the limbus or the scleral rim and was implanted under the

conjunctiva after 360° peritomy. Donor tissue unsuitable for penetrating keratoplasty because of poor endothelium or corneal

scarring, was obtained from Lublin Eye Bank.

Results: We observed closing of the perforation in all cases. Healing of the ulceration with scar formation and new vessels ingrowth was noted. In some eyes repeated epikeratoplasties were performed.

Conclusions: Tectonic epikeratoplasty is a safe and simple method of treatment of corneal perforations. It provides a biological

patch stimulating the healing of corneal defects. It gives time for systemic treatment before further ocular surface reconstructive procedures can be performed.
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