Klinische Monatsblatter fur Augenheilkunde · 2002
[Gore-tex(r) patch in immunologically conditioned corneal ulcer].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Amm Marita, Nölle Bernhard
Аннотация
BACKGROUND: The treatment of immunological corneal disease and melting is still a challenge for any ophthalmologist. Adequate systemic treatment as well as the surgical intervention with an allogeneic corneal graft needs time. In case of emergency a gore-tex(R) patch is an alternative option.
PATIENTS AND METHOD: We report on the pre- and postoperative courses of six eyes suffering from rheumatic corneal ulcer resp. immune mediated descemetocele treated by a gore-tex(R) patch. Follow-up ranged between 6 to 30 months.
RESULTS: In all cases corneal perforation could be prevented, the artificial graft kept the anterior chamber tight. No infection or graft extrusion developed.
DISCUSSION: Different surgical methods are optional in the treatment of rheumatic and immunologic corneal diseases (lamellar or penetrating keratoplasty à chaud, conjunctival flap, amniotic membrane transplantation, contact lenses with adhesive). Another possibility, the gore-tex(R) patch, is an easily available and easy-to-handle tissue, which allows stabilisation of the situation and saves time.
PATIENTS AND METHOD: We report on the pre- and postoperative courses of six eyes suffering from rheumatic corneal ulcer resp. immune mediated descemetocele treated by a gore-tex(R) patch. Follow-up ranged between 6 to 30 months.
RESULTS: In all cases corneal perforation could be prevented, the artificial graft kept the anterior chamber tight. No infection or graft extrusion developed.
DISCUSSION: Different surgical methods are optional in the treatment of rheumatic and immunologic corneal diseases (lamellar or penetrating keratoplasty à chaud, conjunctival flap, amniotic membrane transplantation, contact lenses with adhesive). Another possibility, the gore-tex(R) patch, is an easily available and easy-to-handle tissue, which allows stabilisation of the situation and saves time.