Avtor/Urednik		Štunf, Špela; Pfeifer, Vladimir; Globočnik-Petrovič, Mojca
Naslov		Combined penetrating keratoplasty and pars plana vitrectomy with the use of temporary keratoprosthesis
Prevedeni naslov		Kombinirana operacija presaditve roženice in pars plana vitrektomije z uporabo začasne keratoproteze
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 79, št. Suppl
Leto izdaje		2010
Obseg		str. I-79-85
Jezik		eng
Abstrakt		Background: Severe ocular trauma is surgically challenging and prognostically questionable due to injury of anterior and posterior segment. We evaluated the outcome of combined penetrating keratoplasty and pars plana vitrectomy with the use of temporary keratoprosthesis (PKP+PPV/TK) for such cases. Methods: In a retrospective study records of 7 patients (7 eyes) with severe ocular trauma, who underwent PKP+PPV/TK in 2002-2007 at the Eye Hospital Univesity Clinical Centre Ljubljana, were evaluated. Final follow-up was done in 2008. Results: The length of follow-up was 1-6 years (mean 3.3). All patients were male, 20 to 61-years- -old. The mechanisms of injury were explosion, assault or injury with an object. There were 6 open globe injuries, of them one with IOFB, and one contusion with partial thickness corneal laceration and posttraumatic fungal keratitis and endophthalmitis. Retinal detachment occurred in 5 patients. Visual acuity at presentation was light perception (LP) in 6 patients, one patient was sedated. The PKP+PPV/TK was performed within two days (2), 10-15 days later (3) and more than 1 month later (2). The visual outcome at the final follow-up was 0.9-1.0 cc in 2 patients, satisfactory (0.1 cc) in one, and bad (LP) in 3 patients. One painful blind eye was enucleated.
Deskriptorji		EYE INJURIES, PENETRATING KERATOPLASTY, PENETRATING VITRECTOMY CORNEAL TRANSPLANTATION