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Anatomical Outcome of Vitreoretinal Surgery Using Temporary Keratoprosthesis and Replacement of the Trephined Corneal Button for Severe Open Globe Injuries: One-Year Result
In this case series of 74 patients with coexisting vitreoretinal injury and severe corneal opacification, after temporary keratoprosthesis (TKP) assisted pars plana vitrectomy (PPV), an allograft corneal transplant was not performed at the same time; instead, the patient’s trephined corneal button w...
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Published in: | Journal of Ophthalmology 2014-01, Vol.2014 (3), p.333-337 |
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container_title | Journal of Ophthalmology |
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creator | Ma, Zhi-Zhong Hu, Yun-Tao Feng, Kang Feng, Xue-Feng Dou, Hong-Liang Wang, Chang-Guan Chen, Hui-Jin Xu, Yi-Min |
description | In this case series of 74 patients with coexisting vitreoretinal injury and severe corneal opacification, after temporary keratoprosthesis (TKP) assisted pars plana vitrectomy (PPV), an allograft corneal transplant was not performed at the same time; instead, the patient’s trephined corneal button was sutured back. One year after the surgery, if intraocular pressure of the injured eyes was above 8 mmHg, removing silicone oil was attempted, and penetrating keratoplasty could be performed. Finally, 10 eyes (13.5%) were enucleated due to atrophia bulbi; 46 eyes (62.2%) were silicone-oil sustained; 15 eyes (20.3%) were anatomically restored; and 3 eyes (4.0%) experienced recurrent retinal detachment. These figures only demonstrate a small percentage of the injured eyes in our series, which have PKP indications. It is a practical option to suture back the patient’s trephined cornea following a TKP assisted PPV; keratoplasty was reserved for selected cases. |
doi_str_mv | 10.1155/2014/794039 |
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One year after the surgery, if intraocular pressure of the injured eyes was above 8 mmHg, removing silicone oil was attempted, and penetrating keratoplasty could be performed. Finally, 10 eyes (13.5%) were enucleated due to atrophia bulbi; 46 eyes (62.2%) were silicone-oil sustained; 15 eyes (20.3%) were anatomically restored; and 3 eyes (4.0%) experienced recurrent retinal detachment. These figures only demonstrate a small percentage of the injured eyes in our series, which have PKP indications. It is a practical option to suture back the patient’s trephined cornea following a TKP assisted PPV; keratoplasty was reserved for selected cases.</description><identifier>ISSN: 2090-004X</identifier><identifier>EISSN: 2090-0058</identifier><identifier>DOI: 10.1155/2014/794039</identifier><identifier>PMID: 25105021</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Limiteds</publisher><subject>Care and treatment ; Clinical Study ; Cornea ; Endothelium ; Eye injuries ; Eye surgery ; Injuries ; Patient outcomes ; Patients ; Retinal detachment ; Trauma</subject><ispartof>Journal of Ophthalmology, 2014-01, Vol.2014 (3), p.333-337</ispartof><rights>Copyright © 2014 Hui-Jin Chen et al.</rights><rights>COPYRIGHT 2014 Hindawi Limited</rights><rights>Copyright © 2014 Hui-Jin Chen et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2014 Hui-Jin Chen et al. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a766t-346239673e86c34713f5de36ba3353663abab19aa8ffb6ebf3e9af7c9760bcac3</citedby><cites>FETCH-LOGICAL-a766t-346239673e86c34713f5de36ba3353663abab19aa8ffb6ebf3e9af7c9760bcac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2407633437/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2407633437?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25105021$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zarbin, Marco A.</contributor><contributor>Marco A Zarbin</contributor><creatorcontrib>Ma, Zhi-Zhong</creatorcontrib><creatorcontrib>Hu, Yun-Tao</creatorcontrib><creatorcontrib>Feng, Kang</creatorcontrib><creatorcontrib>Feng, Xue-Feng</creatorcontrib><creatorcontrib>Dou, Hong-Liang</creatorcontrib><creatorcontrib>Wang, Chang-Guan</creatorcontrib><creatorcontrib>Chen, Hui-Jin</creatorcontrib><creatorcontrib>Xu, Yi-Min</creatorcontrib><title>Anatomical Outcome of Vitreoretinal Surgery Using Temporary Keratoprosthesis and Replacement of the Trephined Corneal Button for Severe Open Globe Injuries: One-Year Result</title><title>Journal of Ophthalmology</title><addtitle>J Ophthalmol</addtitle><description>In this case series of 74 patients with coexisting vitreoretinal injury and severe corneal opacification, after temporary keratoprosthesis (TKP) assisted pars plana vitrectomy (PPV), an allograft corneal transplant was not performed at the same time; instead, the patient’s trephined corneal button was sutured back. One year after the surgery, if intraocular pressure of the injured eyes was above 8 mmHg, removing silicone oil was attempted, and penetrating keratoplasty could be performed. Finally, 10 eyes (13.5%) were enucleated due to atrophia bulbi; 46 eyes (62.2%) were silicone-oil sustained; 15 eyes (20.3%) were anatomically restored; and 3 eyes (4.0%) experienced recurrent retinal detachment. These figures only demonstrate a small percentage of the injured eyes in our series, which have PKP indications. 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subjects | Care and treatment Clinical Study Cornea Endothelium Eye injuries Eye surgery Injuries Patient outcomes Patients Retinal detachment Trauma |
title | Anatomical Outcome of Vitreoretinal Surgery Using Temporary Keratoprosthesis and Replacement of the Trephined Corneal Button for Severe Open Globe Injuries: One-Year Result |
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