A surgical technique for the treatment of central corneal perforations.

M. Vrabec, J. Jordan
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引用次数: 8

Abstract

BACKGROUND Generally, corneal perforations of 2 mm in diameter or greater are treated using graft material for tectonic support. A surgical technique for the primary repair of such perforations without the use of any additional tissue is presented. METHODS This procedure is demonstrated by a case report. The technique involves creation of an elliptical defect out of a circular one, thus allowing for primary closure, with the addition of glue. A definitive penetrating keratoplasty was subsequently performed with several important modifications described herein. RESULTS A water-tight closure was obtained with this technique for 1 month while the inflammation subsided. Preoperative visual acuity was light perception. One year postoperatively, it was count fingers at 8 feet with mild irregular astigmatism. CONCLUSION This technique is useful for perforations which are central, larger than 2 mm in diameter, and when corneal or scleral material is not readily available for patch grafting.
一种治疗角膜中央穿孔的外科技术。
一般来说,直径2mm或更大的角膜穿孔是用移植材料作为构造支撑来治疗的。一种外科技术的初级修复这种穿孔不使用任何额外的组织提出。方法通过病例报告对该方法进行论证。该技术涉及在圆形缺陷上创建椭圆形缺陷,从而允许在添加胶水的情况下进行初步闭合。随后进行了明确的穿透性角膜移植术,并进行了几项重要的修改。结果该方法可获得sa水密闭合1个月,炎症消退。术前视敏度为光觉。术后一年,数指8尺,轻度不规则散光。结论该技术适用于中心穿孔,直径大于2mm,角膜或巩膜材料不容易进行补片移植的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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