Sclerokeratoplasty with Maintenance of the Angle
Using sclerocorneal dissection and angle-support sutures to maintain the angle and its function, we performed 14-mm sclerokeratoplasty with placement of allograft tissue in five eyes of 15 patients. One previously operated-on eye required a second sclerokeratoplasty and three eyes required secondary...
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| Veröffentlicht in: | American journal of ophthalmology 1992-05, Vol.113 (5), p.533-537 |
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| container_title | American journal of ophthalmology |
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| creator | Cobo, Michael Ortiz, Julio R. Safran, Steven G. |
| description | Using sclerocorneal dissection and angle-support sutures to maintain the angle and its function, we performed 14-mm sclerokeratoplasty with placement of allograft tissue in five eyes of 15 patients. One previously operated-on eye required a second sclerokeratoplasty and three eyes required secondary optical keratoplasty after opacification of the original large graft. Patients were monitored from 11 to 90 months postoperatively. At the last examination, all patients had clear grafts and visual acuity had improved since the preoperative examination. All patients had intraocular pressure maintained within normal range (less than 22 mm Hg, as measured by pneumotonometry) except for two patients in whom transient increases were resolved by tapering of corticosteroid treatment. Our results suggested that sclerokeratoplasty, using angle-support sutures, is an effective treatment for diffuse destructive corneoscleral disease that cannot be managed with a smaller graft. |
| doi_str_mv | 10.1016/S0002-9394(14)74725-7 |
| format | Article |
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One previously operated-on eye required a second sclerokeratoplasty and three eyes required secondary optical keratoplasty after opacification of the original large graft. Patients were monitored from 11 to 90 months postoperatively. At the last examination, all patients had clear grafts and visual acuity had improved since the preoperative examination. All patients had intraocular pressure maintained within normal range (less than 22 mm Hg, as measured by pneumotonometry) except for two patients in whom transient increases were resolved by tapering of corticosteroid treatment. Our results suggested that sclerokeratoplasty, using angle-support sutures, is an effective treatment for diffuse destructive corneoscleral disease that cannot be managed with a smaller graft.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(14)74725-7</identifier><identifier>PMID: 1575227</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Anterior Chamber - physiology ; Anterior Chamber - surgery ; Biological and medical sciences ; Cataract Extraction ; Corneal Diseases - surgery ; Corneal Transplantation - methods ; Female ; Follow-Up Studies ; Humans ; Intraocular Pressure ; Male ; Medical sciences ; Postoperative Complications ; Sclera - transplantation ; Scleral Diseases - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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One previously operated-on eye required a second sclerokeratoplasty and three eyes required secondary optical keratoplasty after opacification of the original large graft. Patients were monitored from 11 to 90 months postoperatively. At the last examination, all patients had clear grafts and visual acuity had improved since the preoperative examination. All patients had intraocular pressure maintained within normal range (less than 22 mm Hg, as measured by pneumotonometry) except for two patients in whom transient increases were resolved by tapering of corticosteroid treatment. Our results suggested that sclerokeratoplasty, using angle-support sutures, is an effective treatment for diffuse destructive corneoscleral disease that cannot be managed with a smaller graft.</description><subject>Adult</subject><subject>Aged</subject><subject>Anterior Chamber - physiology</subject><subject>Anterior Chamber - surgery</subject><subject>Biological and medical sciences</subject><subject>Cataract Extraction</subject><subject>Corneal Diseases - surgery</subject><subject>Corneal Transplantation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intraocular Pressure</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications</subject><subject>Sclera - transplantation</subject><subject>Scleral Diseases - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Suture Techniques</subject><subject>Visual Acuity</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMotVYfoTALEV2MJplLJispxRtUXFTXIZOc2Oh0piap0rc3vVCXrg6H_zsXPoSGBF8TTMqbKcaYpjzj-SXJr1jOaJGyA9QnFeMpqTg5RP09coxOvP-IbRnBHuqRghWUsj7CU9WA6z7BydAtGunDKvmxYZY8S9sGaGWrIOlMEmaQjNr3Bk7RkZGNh7NdHaC3-7vX8WM6eXl4Go8mqcoqHlJDSmkwxaau6gqkBqZBF7ymqqS8zpQuC8zyLDd1VlY5N1hJxiVoBVVVl8CyAbrY7l247msJPoi59QqaRrbQLb1glFNMGY9gsQWV67x3YMTC2bl0K0GwWJsSG1NirUGQXGxMifWB4e7Asp6D_pvaqon5-S6XXsnGuKjC-j1W0CLPKI3Y7RaDKOPbghNeWYjWtHWggtCd_eeRX-SahPs</recordid><startdate>19920515</startdate><enddate>19920515</enddate><creator>Cobo, Michael</creator><creator>Ortiz, Julio R.</creator><creator>Safran, Steven G.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920515</creationdate><title>Sclerokeratoplasty with Maintenance of the Angle</title><author>Cobo, Michael ; Ortiz, Julio R. ; Safran, Steven G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-f16af020fb8b8eade7ded59b2c629b3cd6507434fb36849f0ca79aedce88b6e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anterior Chamber - physiology</topic><topic>Anterior Chamber - surgery</topic><topic>Biological and medical sciences</topic><topic>Cataract Extraction</topic><topic>Corneal Diseases - surgery</topic><topic>Corneal Transplantation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intraocular Pressure</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications</topic><topic>Sclera - transplantation</topic><topic>Scleral Diseases - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Suture Techniques</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cobo, Michael</creatorcontrib><creatorcontrib>Ortiz, Julio R.</creatorcontrib><creatorcontrib>Safran, Steven G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cobo, Michael</au><au>Ortiz, Julio R.</au><au>Safran, Steven G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sclerokeratoplasty with Maintenance of the Angle</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1992-05-15</date><risdate>1992</risdate><volume>113</volume><issue>5</issue><spage>533</spage><epage>537</epage><pages>533-537</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>Using sclerocorneal dissection and angle-support sutures to maintain the angle and its function, we performed 14-mm sclerokeratoplasty with placement of allograft tissue in five eyes of 15 patients. One previously operated-on eye required a second sclerokeratoplasty and three eyes required secondary optical keratoplasty after opacification of the original large graft. Patients were monitored from 11 to 90 months postoperatively. At the last examination, all patients had clear grafts and visual acuity had improved since the preoperative examination. All patients had intraocular pressure maintained within normal range (less than 22 mm Hg, as measured by pneumotonometry) except for two patients in whom transient increases were resolved by tapering of corticosteroid treatment. Our results suggested that sclerokeratoplasty, using angle-support sutures, is an effective treatment for diffuse destructive corneoscleral disease that cannot be managed with a smaller graft.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1575227</pmid><doi>10.1016/S0002-9394(14)74725-7</doi><tpages>5</tpages></addata></record> |
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| ispartof | American journal of ophthalmology, 1992-05, Vol.113 (5), p.533-537 |
| issn | 0002-9394 1879-1891 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Anterior Chamber - physiology Anterior Chamber - surgery Biological and medical sciences Cataract Extraction Corneal Diseases - surgery Corneal Transplantation - methods Female Follow-Up Studies Humans Intraocular Pressure Male Medical sciences Postoperative Complications Sclera - transplantation Scleral Diseases - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Suture Techniques Visual Acuity |
| title | Sclerokeratoplasty with Maintenance of the Angle |
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