Author/Editor		Hudovernik, Mojca; Pahor, Dušica
Title		Bulozna keratopatija po operaciji katarakte na Oddelku za očesne bolezni v Mariboru v letih 1988-1998
Translated title		Bullous keratopathy after cataract surgery at the Maribor teaching hospital Department of ophthalmology between 1988-1998
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 69, št. 4
Publication year		2000
Volume		str. 245-8
Language		slo
Abstract		Background. Bullous keratopathy (BK) is a result of corneal decompensation. The aim of our paper is to show its incidence, its causes and the treatment of patients with BK after extracapsular cataract extraction (ECCE). Methods. Retrospectively the documentation of 43 patients with BK hospitalized at our department between 1988 and 1998 was analysed. The study includes 19 patients with BK after ECCE performed at our department. Results. Of the 29 patients (0.56% of all operated senile cataracts in this period) with BK after ECCE, 13 (0.43%) had an intraocular lens implanted into the posterior chamber (IOL post.), 3 (1.36%) into the anterior chamber (IOL ant.), in 3 cases (2.38%) an intraocular lens was not implanted - postoperative aphakia. In patients with IOL post. implantation, postoperative inflammation was noted in 7 cases, in one case a preoperatively described corneal degeneration was confirmed - cornea guttata, in 5 patients it was not possible to establish the cause of BK. In the group of 3 patients with IOL ant. implantation, postoperative inflammation was noted in 2 cases and unstable IOL ant. in one case. Among the patients with post operative aphakia there were 2 cases of lens mass remnants causing inflammation in the anterior chamber, in one case a mechanical lesion of the corneal endothelium had occurred during surgery. Conservative local therapy was applied in 9 patients (473.%), transplantation of the cornea -penetrating keratoplasty (PK) was done in 10 patients (52.7%). A total of 19 PK (11.9%) for BK after cataract surgery were performed during this period. Conclusions. At our department the incidence of BK after ECCE is 0.56%, in patients with IOL post. implantation it is only 0.45%, which corresponds to other European hospitals. The main reason is post operatave inflammation. PK was done in over one half of our patients.
Summary		Izhodišča. Bulozna keratopatija (BK) je posledica dekompenzacije roženice. Namen prispevka je prikazati pogostnost, vzroke in zdravljenje bolnikov z BK po operaciji katarakte po metodi ekstrakapsularne ekstrakcije leče (ECCE). Metode. Retrospektivno smo pregledali popise 43 bolnikov, ki so bili hospitalizirani na našem oddelku zaradi BK med letoma 1988 in 1998. V študijo smo vključili 19 bolnikov z BK po ECCE, ki so bili operirani na našem oddelku. Rezultati. Od 19 bolnikov (0,56% vseh operiranih senilnih katarakt v tem obdobju) z BK po ECCE jih je 13 (0,45%) imelo vstavljeno intraokularno lečo v zadnji prekat (IOL post.), trije (1,36%) v sprednji prekat (IOL ant.), pri treh (1,38%) pa intraokularna leča ni bila vstavljena - postoperativna afakija. Pri bolnikih z vstavljeno IOL post. je bilo v sedmih primerih ugotovljeno postoperativno vnetje, v enem primeru že preoperativno opisovana degeneracija roženice - cornea guttata, pri petih bolnikih pa ni bilo možno ugotoviti vzroka BK. V skupini treh bolnikov z vstavljeno IOL. ant. je bilo pri dveh prisotno postoperativno vnetje, pri enem pa nestabilna IOL ant. Pri bolnikih s postoperativno afakijo so bili v dveh primerih ugotovljeni ostanki lečnih mas v sprednjem prekatu in posledično vnetje, pri enem bolniku pa je šlo za mehansko poškodbo roženičnega endotelija med operacijo. Devet bolnikov (47,3%) smo zdravili konservativno z lokalno terapijo, presaditev roženice - penetrantna keratoplastika (PK) je bila narejena pri 10 bolnikih (52,7%). Skupno je bilo v tem obdobju narejenih 19 PK (11,9%) zaradi BK po operaciji katarakte. Zaključki. Pogostnost BK po ECCE je na našem oddelku 0,56%, pri bolnikih z vstavljeno IOL post. pa le 0,45%, kar je primerljivo z drugimi evropskimi klinikami. Glavni vzrok je postoperativno vnetje. Pri več kot polovici bolnikov je bila narejena penetrantna keratoplastika.
Descriptors		CATARACT EXTRACTION CORNEAL DISEASES KERATOPLASTY, PENETRATING POSTOPERATIVE COMPLICATIONS