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The Triple Procedure:Analysis of Structural,Functional&Refractive Outcome

Journal of Geriatric Medicine 2019年第3期1卷 9-12页

作者： Radhika Natarajan Bharti Ahuja MS Medical Research Foundation India

To analyse the outcome of Triple procedure(Combined penetrating keratoplasty,cataract extraction and intraocular lens implantation)is a surgical technique for visually disabling corneal conditions with associated ***:The medical records of 120 patients who underwent triple procedure between January 2007 and December 2011 in terms of demographic data,past ophthalmic history,indications for surgery were retrospectively *** preoperative data included the initial visual acuity at the time of presentation,slit lamp findings of cornea(scar,haze,vascularisation,stromal folds with bullae),anterior chamber,lens details,intraocular pressure status,posterior segment examination with the help of indirect ophthalmoscope or B scan ***:A total of 120 corneal triple procedures performed were included in this *** 120 patients,25(20.83%)were male and 95(79.17%)were *** age of these patients was 42.45+/-15.85 years(range 9 to 75 years).The mean postoperative follow up was 15.08+/-12.8 months(range,1.5 to 49 months).Failed therapeutic grafts(42.5%)-was the common indication found for ***,intraocular pressure was increased in 11(9.16%)*** triple procedure in terms of combined penetrating keratoplasty with extracapsular cataract extraction with intraocular lens implantation(PK+ECCE+IOL)was performed in 114(95%)eyes,01(0.83%)eye underwent keratoplasty with phacoemulsification with intraocular lens implantation(PK+PE+IOL),and secondary intraocular lens implantation(PK+IOL)in 05(4.17%)***:Triple procedure is an effective surgical option in corneal diseases associated with *** provides an optimal visual and refractive outcome especially in high risk grafts situation.

关键词： PCR viral keratitis Diagnostic dilemma

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Graft rejection after deep anterior lamellar keratoplasty in fellow eye in macular corneal dystrophy: a case report

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Life Research 2022年第1期5卷 25-28页

作者： He Dong Jian Yu Xun Wang Jun-Zhang Li Department of Ophthalmology The Third People’s Hospital of DalianNon-Directly Affiliated Hospital of Dalian Medical UniversityDalianChina Department of Neurosurgery The Third People’s Hospital of DalianNon-Directly Affiliated Hospital of Dalian Medical UniversityDalianChina.

Because of the low incidence of immunological rejection,deep anterior lamellar keratoplasty(DALK)is currently the preferred treatment for macular corneal dystrophy(MCD).However,there were few reports about whether the consistent results were obtained when performing DALK in both eyes for MCD,especially when the corneal grafts were taken from different ***,there were few reports about whether the stromal graft rejection occurred typically in both eyes in MCD with *** case may represent the first report of an unusual and misleading manifestation of stromal graft rejection after uneventful DALK with big bubble technique in the fellow eye in MCD.A 32-year-old healthy man with MCD underwent bilateral uneventful DALK with a big bubble technique in the left eye in January and the right eye in July,the corneal grafts were taken from different *** was an atypical allograft rejection that occurred in the right eye and none in the left eye;although a timely diagnosis of graft rejection revealed following aqueous determination,it could not be reversed and underwent PK *** purpose of this case report is to illustrate the identification of atypical allograft rejection after DALK in the fellow eye,the significance of aqueous detection in the diagnosis of graft rejection,the choosing of grafts,and the timing of bilateral corneal transplantation in patients with MCD.

关键词： macular corneal dystrophy deep anterior lamellar keratoplasty postoperative rejection viral keratitis

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