Traumatic wound dehiscence after penetrating keratoplasty: Clinical features and outcome in 53 cases in Yemen
| Autor: | Mohammed A Al-Shekeil, Mahfouth Abdalla Bamashmus, Fady A Mukred, Hisham A. Al-Akhlee |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Weakness medicine.medical_specialty Additional Surgical Procedure genetic structures Ruptured Globe medicine.medical_treatment ocular trauma Vitrectomy Dehiscence 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Cornea medicine integumentary system Wound dehiscence business.industry Retrospective cohort study Graft survival medicine.disease penetrating keratoplasty eye diseases Surgery Ophthalmology 030104 developmental biology medicine.anatomical_structure lcsh:RE1-994 030221 ophthalmology & optometry Original Article traumatic wound dehiscence medicine.symptom business |
| Zdroj: | Taiwan Journal of Ophthalmology Taiwan Journal of Ophthalmology, Vol 10, Iss 1, Pp 32-36 (2020) |
| ISSN: | 2211-5072 |
| Popis: | AIMS: Penetrating keratoplasty (PKP) carries the risk of developing wound dehiscence, which can lead to vision loss. The main aim of this study is to analyze the management and outcome of surgery for traumatic wound dehiscence occurring in patients who had PKP. SUBJECTS AND METHODS: This retrospective study included post-PKP patients who sustained traumatic wound dehiscence at the Cornea Unit in Yemen Magrabi Eye Hospital between 2008 and 2016. Fifty-three eyes with a history of wound dehiscence were treated with primary wound closure. Patient files were reviewed for type and time of injury, distance visual acuity (VA), and outcome. RESULTS: Ruptured globe with dehiscence of wound occurred on average 2.4 years (3 months to 13 years) after PKP. The mean age at wound dehiscence was 22.27 years and males accounted for 77.4% (41). All patients were managed with primary closure of the wound. Lensectomy of traumatic or dislocated lens was the most frequent additional surgical procedure (14, 26.4%), followed by anterior vitrectomy (6, 11.3%). In the end, 43 (81.1%) grafts remained clear. In the last follow-up, 34 eyes (64.1%) had best-corrected VA of 20/200 or better and two eyes had no perception of light. CONCLUSION: Rupture globe and wound dehiscence occurs after PKP at the graft–host junction. Wound dehiscence is a lifelong risk after PKP and wound weakness persisted for a long period after PKP. Visual outcome and graft survival are generally poor after the injury, and the restoration of a satisfactory visual result is possible if treated early. |
| Databáze: | OpenAIRE |
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