Clinical results in patients with combined penetrating keratoplasty and vitreoretinal surgery using landers wide-field temporary keratoprosthesis

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dc.contributor.authorMayalı H.
dc.contributor.authorKayıkçıoğlu Ö.
dc.contributor.authorAltınışık M.
dc.contributor.authorBıçak F.
dc.contributor.authorKurt E.
dc.date.accessioned2024-07-22T08:08:58Z
dc.date.available2024-07-22T08:08:58Z
dc.date.issued2019
dc.description.abstractObjectives: To evaluate the clinical results of combined pars plana vitrectomy (PPV) with Landers wide-field temporary keratoprosthesis and penetrating keratoplasty (PK). Materials and Methods: From January 2016, traumatic eyes with coexisting corneal and vitreoretinal diseases that underwent combined keratoprosthesis/PPV/PK surgery were retrospectively evaluated. Demographic characteristics, visual acuity (VA), intraocular pressure (IOP) and clinical findings of the cornea, lens, and retina were recorded during the follow-up. Cases with clear corneal graft, attached retina, normotonic IOP, and improved or stable VA were considered successful. Results: Eight eyes were enrolled in the study. The mean follow-up time was 21.1±8.20 months. Surgery was performed a mean of 23 (10-40) days after trauma. Preoperative VA ranged from no light perception to counting fingers from 50 cm. Postoperatively, corneal graft was clear in 5 patients (62.5%) and retina was attached in 6 eyes (75%). Chronic hypotonia developed in 3 patients (37.5%). VA was unchanged in 3 patients and improved in 5 patients. A total of 5 cases (50%) were considered successful. Shorter interval between trauma and surgery was associated with higher likelihood of success (p=0.043). No significant difference was observed between the groups in terms of type or location of trauma (p=1; p=0.143). Conclusion: Although the functional results are not very satisfactory, the combined procedure provides a final opportunity for preserving remaining vision and anatomic reconstruction in eyes that will otherwise result in phthisis due to severe anterior and posterior segment pathologies. © 2019 by Turkish Ophthalmological Association.
dc.identifier.DOI-ID10.4274/tjo.galenos.2019.87059
dc.identifier.issn21498709
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14589
dc.language.isoEnglish
dc.publisherTurkish Ophthalmology Society
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectAdolescent
dc.subjectAdult
dc.subjectEye Injuries, Penetrating
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectIntraocular Pressure
dc.subjectKeratoplasty, Penetrating
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectProstheses and Implants
dc.subjectProsthesis Implantation
dc.subjectRetrospective Studies
dc.subjectTreatment Outcome
dc.subjectVisual Acuity
dc.subjectVitrectomy
dc.subjectYoung Adult
dc.subjectcyclopentolate
dc.subjectmoxifloxacin
dc.subjectprednisolone acetate
dc.subjectsikloplejin
dc.subjectsilicone
dc.subjectsilicone oil
dc.subjectsteroid
dc.subjectadolescent
dc.subjectadult
dc.subjectArticle
dc.subjectclinical article
dc.subjectcornea opacity
dc.subjectcornea transplantation
dc.subjectcornea ulcer
dc.subjectcross-sectional study
dc.subjectfemale
dc.subjectgraft failure
dc.subjectgraft rejection
dc.subjecthuman
dc.subjectintraocular pressure
dc.subjectlaser coagulation
dc.subjectlow drug dose
dc.subjectmale
dc.subjectoculoplethysmography
dc.subjectpenetrating keratoplasty
dc.subjectperception
dc.subjectpostoperative care
dc.subjectretrospective study
dc.subjectsclerotomy
dc.subjectvisual acuity
dc.subjectvitrectomy
dc.subjectvitreoretinal surgery
dc.subjecteye injury
dc.subjectfollow up
dc.subjectmiddle aged
dc.subjectpathophysiology
dc.subjectpenetrating keratoplasty
dc.subjectphysiology
dc.subjectprocedures
dc.subjectprostheses and orthoses
dc.subjectprosthesis implantation
dc.subjecttreatment outcome
dc.subjectvisual acuity
dc.subjectyoung adult
dc.titleClinical results in patients with combined penetrating keratoplasty and vitreoretinal surgery using landers wide-field temporary keratoprosthesis
dc.typeArticle

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