Abstract | BACKGROUND: With regard to penetrating keratoplasty methods to culture corneal donor tissues, microsurgical techniques, HLA typing and understanding of basic mechanisms in inflammation and especially graft rejection, and postoperative treatment schedules have been improved in recent years. This now enables successful penetrating keratoplasty in many more patients than previously performed. However, in rare cases relevant problems in wound closure may appear. PATIENTS AND METHODS: RESULTS: CONCLUSIONS: When penetrating keratoplasty is indicated, special attention should be given to (1) the compliance of the patient, (2) sufficient treatment of herpes keratitis or other infections, (3) adequate immunosuppression in autoimmune corneal inflammation, (4) double running continuous sutures as primary suture with sometimes additional single sutures to stabilize the graft, and (5) surgery in time.
|
Authors | B Nölle, M A Halene, G Grütters, G I Duncker |
Journal | Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
(Ophthalmologe)
Vol. 97
Issue 1
Pg. 12-6
(Jan 2000)
ISSN: 0941-293X [Print] Germany |
Vernacular Title | Schwerwiegende Wund- und Nahtinsuffizienzen nach perforierender Keratoplastik. |
PMID | 10663783
(Publication Type: Comparative Study, English Abstract, Journal Article)
|
Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Female
- Humans
- Keratoplasty, Penetrating
(adverse effects)
- Male
- Middle Aged
- Risk Factors
- Surgical Wound Dehiscence
(etiology)
- Sutures
(adverse effects)
|