CORNEAL GRAFTING SURGERY, POSTOPERATIVE CARE AND COMPLICATIONS

  • Vladimir Pfeifer Očesna Klinika Klinični center Zaloška 29 A 1525 Ljubljana
  • Marija Ana Schwarzbartl Pfeifer Očesna Klinika Klinični center Zaloška 29 A 1525 Ljubljana
Keywords: penetrating keratoplasty, corneal autograft procedures, lamellar keratoplasty, deep lamelar keratoplasty (DLK), deep lamellar endotelial keratoplasty (DLEK), therapy, complications

Abstract

Background. Keratoplasty done by experienced surgeon is the most successful transplantation of human tissue. Success rate is over 95% in noncomplicated cases.

Extremely important is follow up. Immediate and proper care can reduce damage to the transplanted tissue and prolong its live time. Endothelial cell density is decreasing with time and also with every rejection episode. After 10 years 35% of grafts fail and patients have to be regrafted.

Conclusions. In young patients the life expectancy is high. The expected lifetime of grafted corneas in PKP (penetrating keratoplasty) is shorter; therefore the DLK (deep lamelar keratoplasty) is surgical procedure of choice in these patients. Care about proper corneas for transplantation is taken by Eye banks.

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References

Wiliams KA, Muehlberg SM, Lewis RF, Giles LC,Coster DJ eds: The Australian corneal graft regisrty 1996 Report. Sidney: Mercury Press: 1996.

Soong HK. Penetrating keratoplasty. Focal Points: Clinical modules for ophthalmologist, vol × module 6. San Francisco: AAO, 1992.

Mamalis N, Anderson CW, Kreisler KR et al. Changing trends in the indications for penetrating keratoplasty. Arch Ophthalmol 1992; 110: 1409–11.

The Collaborative Corneal Transplantation Studies Research Group. Effectiveness of histokompatibility matching in high risk corneal transplantation. Arch Ophthalmol 1992; 110: 1392–402.

Burr J, Noble BA. Internal retrospective audit of 277 PKs perfomed in the General Infirmary of Leeds for UK corneal graft registry:1974–1985.

Kirkness CM, Ezra E, Rice SC et al. The success and survival of repeat corneal grafts. Eye 1990; 4: 58–64.

Vail A, Gore SM, Bradey BA et al. Corneal graft survival and visual outcome. Ophthalmology 1994; 110: 120–7.

Vail A, Gore SM, Bradley BA et al. Conclusion of the corneal transplant follow up study. Br J Ophthalmol 1997; 81: 631–6.

Williams KA, Roder D, Esterman A, Muehlberg SM, Coster DJ. Factors predictiv of corneal graft survival. Report from the Australian Corneal Graft Regisrty. Ophthalmol 1992; 99: 403–14.

Williams KA, Roder D, Muehlberg SM, Coster DJ: How successful is corneal graft transplantation. Report from the Australian Corneal Graft Regisrty. Eye 1995; 9: 219–27.

Vail A, Gore SM, Bradley BA, Easty DL, Rogers CA. Corneal transplantation in UK and republic of Irleand. Br J Ophthalmol 1993; 77: 650–6.

Volker Dieben HJ, Kok-VanAlphen CC, Lansbergen Q et al. Diferent influences on corneal graft survival in 539 transplants. Acta Ophthalmol 1982; 60: 190–202.

Bishop VLM, Robinson LP, Wechsler AW, Billson FA. Corneal graft survival: a retrospective study. Aust NZ J Ophthalmol 1986; 14: 133–8.

Sugar A. An analysis of corneal endotelial and graft survival in pseudophakic bullous keratopaty. Trans Am Ophthalmol Soc 1989; 87: 762–801.

Doren GS, Cohen EJ, Bradey SE, Arentsen JJ, Laibson PR. Penetrating keratoplasty after ocular trauma. Am J Ophthalmol 1990; 110: 408–11.

Kenyon KR, Starck T, Hersh PS. Penetrating keratoplasty and anterior segment reconstruction for sever ocular trauma. Ophthalmology 1992; 99: 396–402.

Dana MR, Schaumberg DA, Moyes AL, Gomez JA, Laibson PR, Sugar A, Sugar J. Outcome of penetrating keratoplasty after ocular trauma in children. Arch Ophthalmol 1995; 113: 1503–7.

Nobe JR Moura BT, Robin JB, Smith RE. Result of penetrating keratoplasty for the tratment of corneal perforation. Arch Ophthalmol 1990; 108: 939–41.

Groessl S, Nanda SK, Mieler WF. Assault related penetrating ocular injury. Am J Ophthalmol 1993; 116: 26–33.

Stulting RD, Somers KD, Cavanagh HD Waring GO. Penetrating keratoplasty in children. Ophthalmology 1984; 91: 1222–30.

Bourne WM, Brubaker RF. A metod for ipsilateral rotational autokeratoplasty. Ophthalmology 1978; 85: 1312–6.

Bruce A, Simmons IG, Chang BYP et al. Anterior segment repair and reconstruction. Butterworth-Heinemann, 2002.

Teichmann KD. Lamellar keratoplasty – a comeback. Middle East J Ophthalmol 1990; 7: 59–60.

Sugita J, Kondo J. Lamellar keratoplasty and deep lamellar keratoplasty. Folia Ophthalmol Jpn 1994; 45: 1–3.

Sugita J, Kondo J. Deep lamellar keratoplasty with complete removal of patological stroma for vison improvement. Br J Ophthalmol 1997; 81: 184–8.

Hirano K, Sugita J, Kobayashi M. Separation of corneal stroma and dascemets membrane during deep lamellar keratoplasty. Cornea 2002; 21: 196–9.

Anwar M, Teichmann KD. Bib bubble technique to bare descemet membran in anterior lamellar keratoplasty. J Cataract Refract Surg 2002; 28: 398– 403.

Anwar M. Technique in lamellar keratoplasty. Trans Ophthalmol Soc UK 1974; 94: 163–71.

Anwar M. Dissection technique in lamellar keratoplasty. Br J Ophthalmol 1972; 56: 711–3.

Krumeich JH, Daniel J, Winter M. Deep lamellar keratoplasty with the guided trephine system for trabsplantatig full thickness donor tissue. Ophtzhalmology 1998; 95: 748–54.

Azar DT, Jain S, Sambursky R. A new surgical technique of microkeratome assisted deep lamelar keratoplasty with a hinged flap. Arch Ophthalmol 2000; 118: 1112–5.

Krumeich JH, Schoner P, Lubatschowski H, Gerten G, Kermani O. Excimer laser tretment in deep lamellar keratoplasty 100 mikrom over descemet membran. Ophthalmology 2002; 99: 946–8.

Cosar CB, Sridhar MS, Cohen EJ. Indications for penetrating keratoplasty and associated procedures. Cornea 2002; 21: 148–51.

Dobbis KRB, Price WF, Whitston WF et al. Trends in the indicationsfor penetrating keratoplastyin the Midwestern United States. Cornea 2000; 19: 813–6.

Lois N, Kowal VO, Cohen EJ et al. Indications for penetrating keratoplasty and associated procedures. Cornea 1997; 16: 623–9.

How to Cite
1.
Pfeifer V, Schwarzbartl Pfeifer MA. CORNEAL GRAFTING SURGERY, POSTOPERATIVE CARE AND COMPLICATIONS. TEST ZdravVestn [Internet]. 1 [cited 5Aug.2024];73(5). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/2326
Issue
Vol 73 No 5 (2004): May
Section
Review


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