The report contains the analysis results of 53
keratoplasty procedures in the treatment of patients with severe and extra severe
burns of eyes (185 cases within 6 years). On the basis of the obtained results, the authors conclude that the active surgical approach, when used soon after
trauma (necrectomy, autotenoplasty, bloody blepharorrhaphy), cut significantly the rate of indications for emergency
keratoplasty (to 9% only in cases involving the presence of a deep defect caused by the thermal affection or the presence of
burn-agent particles in the corneal stroma); an extra severe
burn is the absolute indication for
lamellar keratoplasty; indications for
transplantation of the cornea, 1 week after
trauma and more, arise, when there is ulceration (especially, perforation), due to a prolonged and ineffective
therapy and due to an inadequate surgical tactics. The authors suggest the criteria for a substantiated and more effective use of
transplantation of the cornea in the treatment of
eye burns.