Bhatt, P. R. and Lim, Lik Thai and Ramaesh, K. (2007) Therapeutic deep lamellar keratoplasty for corneal perforations. Eye, 21. pp. 1168-1171. ISSN 0950-222X
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Therapeutic deep lamellar keratoplasty for corneal perforations (abstract).pdf Download (166kB) |
Abstract
Objectives/aims Corneal perforation can be potentially blinding unless the integrity of the globe is restored quickly. Although penetrating keratoplasty (PK) may achieve this, it carries a high risk of endothelial rejection in inflamed eyes. Deep lamellar keratoplasty (DLK) may be an alternative option to PK in such eyes owing to its potential for a lower incidence of rejection. We report the efficacy of DLK in patients with corneal perforations. Patients and methods Four patients underwent layer-by-layer DLK for noninfective corneal perforation, after measures such as the use of a bandage contact lens, tissue adhesive, and conjunctival pedicle flap had failed. The preoperative visual acuity was hand movements in one patient, 1/60 in two, and 6/60 in one. All four had iris incarcerated within the corneal perforations. SF6 gas (three patients) and air (one patient) were injected into the anterior chamber at the end of surgery.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | corneal perforation; deep lamellar keratoplasty; penetrating keratoplasty, unimas, university, universiti, Borneo, Malaysia, Sarawak, Kuching, Samarahan, ipta, education, research, Universiti Malaysia Sarawak. |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RE Ophthalmology |
| Divisions: | Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences Faculties, Institutes, Centres > Faculty of Medicine and Health Sciences |
| Depositing User: | Gani |
| Date Deposited: | 17 Oct 2018 07:27 |
| Last Modified: | 17 Oct 2018 07:27 |
| URI: | http://ir.unimas.my/id/eprint/22050 |
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