2022
DOI: 10.1016/j.ajoc.2022.101322
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Gore-Tex- as an adjuvant to Tenon's patch graft for large perforated corneal ulcers during Covid times

Abstract: Purpose Covid-19 has profoundly affected the day-to-day lives of individual citizens. It has strained all aspects of health care including eye banking and corneal transplantation. Although elective procedures like optical Keratoplasty can be postponed, management of perforating ulcers needs tectonic Keratoplasty to avoid permanent ocular morbidities. It has become inevitable for corneal surgeons to innovate newer methods of treatment for such corneal diseases. The large corneal perforations if lef… Show more

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Cited by 4 publications
(5 citation statements)
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“…[ 12 ] Recently, in a case report, Venugopal A et al . [ 8 ] used TPG with Gore-tex to repair perforation and in a case series, Bafna et al . [ 16 ] used temporary horizontal mattress sutures and fibrin glue to hitch the graft in a lamellar pocket (up to 5 mm).…”
Section: Discussionmentioning
confidence: 99%
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“…[ 12 ] Recently, in a case report, Venugopal A et al . [ 8 ] used TPG with Gore-tex to repair perforation and in a case series, Bafna et al . [ 16 ] used temporary horizontal mattress sutures and fibrin glue to hitch the graft in a lamellar pocket (up to 5 mm).…”
Section: Discussionmentioning
confidence: 99%
“…A total of 84 cases of its use have been documented from 2012 to 2022. [ 8 9 10 11 12 13 14 15 16 ] Most reports come from India, perhaps due in part to the shortage of donor tissue for keratoplasty in emergency settings. In fact, 79% of our procedures were performed between March 2020 and August 2021 when there was a shortage of donor tissue during the COVID-19 pandemic.…”
Section: Discussionmentioning
confidence: 99%
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“…Currently, the FDA-approved products for antiadhesion are mainly physical films, such as Seprafilm, Interceed, and Gore-tex. , Although with a certain therapeutic effect, these strategies still face their own problems. Due to the lower strength of Seprafilm in hysteroscopic surgery, it is more suitable for open surgery with more complexity and more severe wounds. The adhesion of Interceed to the tissue is significantly reduced due to the residual blood or tissue fluid on the surface of the tissue; thus, thorough hemostasis and cleaning are required during the operation. , Due to its nonadhesive properties, Gore-tex requires an effective suturing to be positioned on the injured tissue surface, which also increases the complexity of surgery, especially hysteroscopic surgery. , Moreover, unlike the other two products that can be cleared or degraded, Gore-tex needs to be removed through a second surgery, which also increases the suffering of the patient. , In addition, the current film products are difficult to form conformal barriers on irregular surfaces of the human uterine cavity.…”
Section: Introductionmentioning
confidence: 99%
“…18,19 Due to its nonadhesive properties, Gore-tex requires an effective suturing to be positioned on the injured tissue surface, which also increases the complexity of surgery, especially hysteroscopic surgery. 20,21 Moreover, unlike the other two products that can be cleared or degraded, Gore-tex needs to be removed through a second surgery, which also increases the suffering of the patient. 22,23 In addition, the current film products are difficult to form conformal barriers on irregular surfaces of the human uterine cavity.…”
Section: Introductionmentioning
confidence: 99%