Patch endothelial keratoplasty for corneal perforations secondary to ocular surface disease: case series

被引：0
作者：
Lacorzana, Javier [1 ,2 ]
Hong, Sheng Chiong [1 ]
Georges, Pierre [3 ]
Petsoglou, Constantinos [1 ,3 ,4 ]
机构：
[1] Sydney Eye Hosp, Dept Ophthalmol, Cornea Unit, 8 Macquarie St, Sydney, NSW 2000, Australia
[2] Birmingham & Mindland Eye Ctr, Dept Ophthalmol, Glaucoma Unit, Birmingham, England
[3] New South Wales Organ & Tissue Donat Serv, New South Wales Tissue Bank, Sydney, Australia
[4] Univ Sydney, Fac Med, Specialty Ophthalmol, Sydney, Australia
来源：
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY | 2024年 / 262卷 / 02期
关键词：
Corneal perforation; Patch endothelial keratoplasty; Ocular surface disease; Corneal surgery; Keratitis; MANAGEMENT;
D O I：
10.1007/s00417-023-06194-y
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
BackgroundCorneal perforation is an ophthalmic emergency. The conventional management of corneal perforation can be associated with severe complications especially in patients with ocular surface disease. Endothelial keratoplasty has been suggested as an alternative surgical technique for the management of corneal perforations. We present a case series of nine patients with corneal perforation and ocular surface disease managed with secondary patch endothelial keratoplasty.MethodsThis is a retrospective case series of nine patch endothelial keratoplasties performed between 2016 and 2022 at a quaternary eye hospital in Australia. The surgical technique is similar to conventional endothelial keratoplasty except descemetorhexis was not performed.ResultsA total of 9 cases were treated during the review period. Eight of the nine cases had an improvement in visual acuity. One case failed to achieve corneal tectonic objective.ConclusionPatch endothelial keratoplasty is a safe secondary procedure for the management of corneal perforations in patients with ocular surface disease.
引用
收藏
页码：519 / 526
页数：8
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