Eckardt Keratoprosthesis for Tectonic Repair of a Large Corneal Perforation
| العنوان: | Eckardt Keratoprosthesis for Tectonic Repair of a Large Corneal Perforation |
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| المؤلفون: | Silke Helsen, Carina Koppen, Nadia Zakaria, Sorcha Ní Dhubhghaill |
| المساهمون: | Ophtalmology - Eye surgery |
| المصدر: | Cornea |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Keratoprosthesis, medicine.medical_treatment, Perforation (oil well), 030232 urology & nephrology, Visual Acuity, Prosthesis, Prosthesis Implantation, 03 medical and health sciences, 0302 clinical medicine, Cornea, medicine, Humans, Emergency Treatment, Wound Healing, business.industry, Corneal Perforation, Corneal Perforation/etiology, Prostheses and Implants, Corneal perforation, Middle Aged, Secondary procedure, medicine.disease, eye diseases, Surgery, Ophthalmology, Recurrent herpetic keratitis, medicine.anatomical_structure, Debridement, 030221 ophthalmology & optometry, sense organs, Human medicine, Complication, business, Keratoplasty, Penetrating |
| الوصف: | Purpose: To report on the use of the Eckardt keratoprosthesis as an emergency temporary tectonic seal for a full-thickness, large decentered corneal perforation. Methods: Case report and review of the literature. Results: A 47-year-old male patient with myotonic dystrophy presented with a large corneal perforation as a complication of chronic ulceration caused by lagophthalmia and recurrent herpetic keratitis. The perforation was triggered by a superinfection with Gram-positive bacteria. In an emergency setting where no donor cornea was available, the Eckardt keratoprosthesis was sutured into the debrided corneal defect as a tectonic measure. A secondary procedure, consisting of open sky cataract extraction combined with penetrating keratoplasty was performed 3 weeks later. During this period, the prosthesis was well tolerated and the anterior chamber stayed well formed. Conclusions: The Eckardt keratoprosthesis allowed us to convert what would have been an emergency a chaud keratoplasty into a well-controlled elective procedure. In our case, the silicone prosthesis was well tolerated during the 3-week period while awaiting final repair with a corneal donor button. |
| تدمد: | 1536-4798 0277-3740 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d04f9b96a353ee744d5d6171504c7603 https://pubmed.ncbi.nlm.nih.gov/27191673 |
| Rights: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....d04f9b96a353ee744d5d6171504c7603 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15364798 02773740 |
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