Penetrating Keratoplasty with Vitreoretinal Surgery Using the Eckardt Temporary Keratoprosthesis

Gallemore, Ron P.; Bokosky, John E.

doi:10.1097/00003226-199501000-00006

Cited by 39 publications

(23 citation statements)

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“…In earlier studies, less than 50% of the eyes reached a VA of 0.05 or better. The best results were achieved by Gallemore and Bokosky [5] and Gelender et al [7], who reported a VA of 20/60 or better in 5 of 13 eyes. Other investigators [9,14,22] have reported a VA of 0.05 or better in only 15-25% of the eyes, which is in agreement with the findings reported here.…”

Section: Discussionmentioning

confidence: 96%

Combined penetrating keratoplasty and vitreoretinal surgery with silicone oil: a 1-year follow-up

Roters

Hamzei

Szurman

et al. 2003

Graefe's Arch Clin Exp Ophthalmol

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Section: Discussionmentioning

confidence: 96%

Combined penetrating keratoplasty and vitreoretinal surgery with silicone oil: a 1-year follow-up

Roters

Hamzei

Szurman

et al. 2003

Graefe's Arch Clin Exp Ophthalmol

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“…[13][14][15][16][17] In severely injured eyes, corneal graft failure and phthisis bulbi are known to be common postoperative complications, especially in cases in which silicone oil has been used. 14,15,17 In our study, the surgical procedure was combined with autokeratoplasty because of the increased risk of graft failure or lack of available corneal graft in four eyes that underwent vitreoretinal surgery using temporary keratoprosthesis; therefore, we cannot draw a definite conclusion regarding the survival of corneal grafts. However, in one eye that underwent open-sky vitrectomy with penetrating keratoplasty, the corneal graft rapidly became completely opaque, and the eye became phthisical.…”

Section: Discussionmentioning

confidence: 99%

Ocular injuries from improvised explosive devices

Erdurman

Hürmeriç

Gokce

et al. 2011

Eye

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Purpose To document the characteristics, treatments, and anatomical and functional outcomes of patients with ocular trauma from improvised explosive devices (IEDs). Methods Retrospective review of ocular injuries caused by IEDs, admitted to our tertiary referral centre. Results In total, sixty-one eyes of the 39 patients with an average age of 24 years (range, 20-42 years) were included in the study. In total, 49 (80%) eyes of the patients had open-globe and 12 (20%) had closed-globe injury.In eyes with open-globe injury, intraocular foreign body (IOFB) injury was the most frequently encountered type of injury, observed in 76% of eyes. Evisceration or enucleation was required as a primary surgical intervention in 17 (28%) of the eyes. Twentytwo (36%) eyes had no light perception at presentation. Patients were followed up for an average of 6 months (range, 4-34 months). At the last follow-up, 26 (43%) of 61 eyes had no light perception. Postoperative proliferative vitreoretinopathy (PVR) developed in 12 (50%) of the 24 eyes that underwent vitreoretinal surgery, and four of these eyes became phthisical. There were no cases of endophthalmitis. The presence of open-globe injury and presenting visual acuity worse than 5/200 were significantly associated with poor visual outcome (o5/200, Po0.05).In eyes with open-globe injury, the presence of an IOFB was not associated with poor visual outcome (P40.05). Conclusion Ocular injuries from IEDs are highly associated with severe ocular damage requiring extensive surgical repair or evisceration/enucleation. Postoperative PVR is a common cause of poor anatomical and visual outcome.

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“…Hypotony and phthisis were reported in 12% [40], 18% [36], 22.6% [37], and 35% [38]. If the data of children is evaluated separately, the phthisis rate is 38%.…”

Section: Keratoplastymentioning

confidence: 99%

“…In these studies, only a few cases of children are well-documented ( Table 5). The best outcome [36] was of a 7-year-old boy whose operation included usage of a keratoprosthesis followed by lentectomy, scleral buckling, vitrectomy, C3F8-fluid/gas exchange, and penetrating keratoplasty. Ten months postoperatively, the bestcorrected visual acuity was 20/30.…”

Section: Keratoplastymentioning

confidence: 99%