Emergency visits after corneal transplantation in Yemen
| Autor: | Khaldoon O Al-Nuseriy, Mahfouth Abdalla Bamashmus, Hisham A Al-Akhalee, Marwan H Farhan, Saleh A. Al-Akily |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Keratoconus
medicine.medical_specialty genetic structures medicine.medical_treatment Corneal dystrophy 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Emergency visit Ophthalmology Cornea medicine 030212 general & internal medicine Corneal transplantation business.industry Retrospective cohort study penetrating keratoplasty medicine.disease eye diseases Surgery Transplantation medicine.anatomical_structure lcsh:RE1-994 030221 ophthalmology & optometry Bullous keratopathy Original Article sense organs graft rejection Presentation (obstetrics) business |
| Zdroj: | Oman Journal of Ophthalmology, Vol 10, Iss 3, Pp 193-197 (2017) Oman Journal of Ophthalmology |
| ISSN: | 0974-620X |
| DOI: | 10.4103/ojo.ojo_217_2016 |
| Popis: | PURPOSE: Awareness of symptoms and signs of possible complications after corneal transplantation is very important. Early presentation can enhance long-term survival of the cornea. This study evaluates the reasons for emergency presentation and management of postcorneal transplantation complications. PATIENTS AND METHODS: This retrospective study included a total of 134 postkeratoplasty patients at the cornea unit in Yemen Magrabi Eye Hospital in Sana’a between 2008 and 2010. RESULTS: The most common indication for keratoplasty was keratoconus in 103 patients (76.9%) followed by bullous keratopathy (4.5%) and corneal dystrophy (4.5%). 80 (59.7%) patients presented for emergency visits. Pain and foreign body sensation were the main presenting symptoms. Loose irritating sutures (29.9%) and graft rejection (10.4%) were the most common diagnoses. Twelve patients (8.9%) were admitted to the hospital for re-suturing. CONCLUSION: Proper postoperative care is critical for a successful keratoplasty; early intervention of sight-threatening complications increases the chance of graft survival and best-obtained vision. In our corneal transplantation service, all patients are routinely instructed to arrange a same day emergency visit if they experience any symptom in eyes that have undergone keratoplasty. |
| Databáze: | OpenAIRE |
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