Graft dehiscence following penetrating keratoplasty

Conclusion: The patients who undergone PK should be informed about graft dehiscence and to prevent dehiscence encourage them to use protective eyewear especially monoocular patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To evaluate clinical characteristics of the patients who undergone penetrating keratoplasty (PK) admitted to our department with traumatic wound dehiscence.

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Key Findings & Data:Material and Method: The patients who had surgery due to graft dehiscence after PK between July 2011 - June 2013 were evaluated retrospectively.

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Conclusion & Impact:Conclusion: The patients who undergone PK should be informed about graft dehiscence and to prevent dehiscence encourage them to use protective eyewear especially monoocular patients.

🔬Design:Research Article

📍Scope:2011 Verileri

⚙️Variables:Domain Parameters

Abstract

Aim: To evaluate clinical characteristics of the patients who undergone penetrating keratoplasty (PK) admitted to our department with traumatic wound dehiscence. Material and Method: The patients who had surgery due to graft dehiscence after PK between July 2011 - June 2013 were evaluated retrospectively. Cause of dehiscence, visual acuity, place and width of the dehiscence were noted. Graft clarity, visual acuity and complications were also noted. Results: Four men and 4 women were included in the study. The mean age of the patients was 47,0±22,53 years. Wound dehiscence was seen in 7 eyes with blunt trauma, in 1 eye after suture removal. The mean dehiscence was 5,0±2,39 quadrants. Lens extrusion in 3 eyes, intraocular lens extrusion in one eye, suprachoroidal hemorrhage and retinal detachment in two eyes with lens extrusion were observed. Two patients were monoocular. Visual acuity was 20/63 or better in 2 eyes (25%). Conclusion: The patients who undergone PK should be informed about graft dehiscence and to prevent dehiscence encourage them to use protective eyewear especially monoocular patients.

Özet

Amaç: Kliniğimize greft ayrışmasıyla başvuran keratoplasti ameliyatı geçirmiş olguların klinik özelliklerinin araştırılması. Gereç ve Yöntem: Temmuz 2011- Haziran 2013 tarihleri arasında greft ayrışması nedeniyle tedavileri yapılmış hasta dosyaları retrospektif olarak tarandı. Greft ayrışma nedeni, görme keskinliği, greftin ayrışma yeri ve genişliği kaydedildi. Ameliyat sonrası greft saydamlığı, görme keskinliği ve oluşan komplikasyonlar kaydedildi. Bulgular: Çalışmaya sekiz olgu (bayan ve erkek sayısı 4/4) dahil edildi ve yaş ortalamaları 47,0±22,53 yıl idi. Yedi olguda greft ayrışması künt travma nedeniyle, bir olguda ise sütür alınması sonrası greft ayrışması meydana gelmişti. Ortalama ayrışma 5,0±2,39 saat kadranı kadardı. Greft ayrışmasıyla birlikte 3 olguda lens kaybı, 1 olguda göz içi lensi, lens kaybı olan 2 olguda suprakoroidal kanama ve retina dekolmanı izlendi. Olgulardan 2'si tek gözlüydü. Ameliyat sonrası olguların 2'sinde (%25) görme keskinliği 20/63 ve daha fazlaydı. Sonuç: Greft ayrışmasını engellemek için hastaları bu konuda bilgilendirmeli ve tüm olguların özellikle tek gözlü olanların koruyucu gözlük kullanmalarını sağlamalıyız.

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Cite This Article

ÇINAR, Y., CİNGÜ, A. K., ÇINAR, T., TÜRKÇÜ, F. M., YÜKSEL, H., ŞAHİN, A., ÇAÇA, İ. (2014). Graft dehiscence following penetrating keratoplasty. MN Oftalmoloji, Cilt: 21 - Sayı: 4, 226–229. https://ajindex.com/articles/295598

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