Clinical Results in Patients with Combined Penetrating Keratoplasty and Vitreoretinal Surgery Using Landers Wide-field Temporary Keratoprosthesis

Simple item page
dc.contributor.authorMayali, H
dc.contributor.authorKayikçioglu, Ö
dc.contributor.authorAltinisik, M
dc.contributor.authorBiçak, F
dc.contributor.authorKurt, E
dc.date.accessioned2024-07-18T11:49:21Z
dc.date.available2024-07-18T11:49:21Z
dc.description.abstractObjectives: To evaluate the clinical results of corn bined pars plana vitrectomy (PPV) with Landers wide-field temporary keraroprosthesis 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.
dc.identifier.issn1300-0659
dc.identifier.other2147-2661
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/3964
dc.language.isoEnglish
dc.publisherTURKISH OPHTHALMOLOGICAL SOC
dc.subjectPARS-PLANA VITRECTOMY
dc.subjectCOMBINED CORNEAL
dc.subjectSILICONE OIL
dc.subjectMANAGEMENT
dc.subjectINJURY
dc.titleClinical Results in Patients with Combined Penetrating Keratoplasty and Vitreoretinal Surgery Using Landers Wide-field Temporary Keratoprosthesis
dc.typeArticle

Files

Collections

Web of Science Koleksiyonu