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Full thickness cornea transplantation to lamellar bad managing extensive corneal perforations
Author(s) -
ASOKLIS R,
BUTKIENE L,
JUODKAITE G,
MAKSELIS A,
PAJAUJIS M,
CIMBALAS A
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.5432.x
Subject(s) - cornea , medicine , transplantation , corneal transplantation , amnion , ophthalmology , surgery , keratitis , corneal perforation , biology , pregnancy , fetus , genetics
Purpose Present surgical techniques for managing extensive corneal perforations. Methods In three eyes of the three patients full thickness to lamellar bad cornea transplantations were performed because of the cornea perforations. In all cases previous to corneal grafting amniotic membrane was transplanted in tectonic purposes since donor corneas were not urgently available. Surgical techniques of the amniotic membrane transplantation consisted of intrastromal fluffed–up and intrastromal blanket‐fold multilayered amniotic membrane transplantations. Full thickness corneal grafts were decided because of the extensive descemet defects in the bad of the ulcers. Previously to the surgeries clinical diagnosis of ocular rosacea, herpetic keratitis and keratitis sicca were establisched in every consequent case. Additional sistemic treatment was administered for ocular rosacea and herpetic keratitis patients. Results In all three cases multilayered amniotic membrane transplantation showed sufficient effect for restoration integrity of the globe for short period. Full thickness corneal transplantation to lamellar bad was effective surgical procedure. In one case double anterior chamber was observed for 1 month. Conclusion 1.Multilayer amniotic membrane transplantation can be as the bridge to cornea grafting, in cases, when donor corneas are not urgently available. 2. For extensive corneal perforations full thickness cornea transplantation to lamellar bed is reliable method of treatment. 3. If corneal perforations are related to systemic disease it is necessary to administer appropriate regimen of the adjacent systemic medical treatment.