Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
786 2 |
Ultima descărcare din IBN: 2023-03-05 12:15 |
SM ISO690:2012 CEBAN, Cornelia. Results of Corneal Defect Coverage with Amniotic Membrane. In: Curierul Medical, 2010, nr. 4(316), pp. 11-15. ISSN 1875-0666. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Curierul Medical | ||||||
Numărul 4(316) / 2010 / ISSN 1875-0666 | ||||||
|
||||||
Pag. 11-15 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
The study included 53 patients with various pathologies of the cornea with prolonged absence of epithelialization of the surface or ulceration.
Among our patients, the majority (52.8%) had deep ulcers, the second largest group had keratouveitis with ulcers (22.6%). Herpetic keratitis
(7.5%) and corneal ulcer in systemic diseases (11.3%) had a relatively smaller incidence. The patients were divided into 2 groups depending on the
applied surgical intervention: group I (20 patients – 20 eyes) – patients who underwent a single (simple) coverage of the cornea with lyophilised
amniotic membrane; group II (33 patients – 33 eyes) – patients, following a double corneal coverage with lyophilised amniotic membrane. Results
of treatment in group I: keratouveitis with ulceration (5 patients) – recovery in 2 cases and improvement in 3 cases, keratitis with ulceration (2
patients) – recovery in 1 case and improvement in 1 case, deep corneal ulcer (9 patients) – recovered in 4 cases and in 5 patients the ulcerative
defect of the cornea almost epithelized, but maintained a residual infiltration of the stroma and a small swelling of the cornea. The visual acuity
increased by 0.3 – 0.4 in comparison with the original data. After 6 -7 months after surgery, recurrence of herpetic keratitis in 1 case. Results
of treatment in group II: keratouveitis with ulceration (7 patients.) – all cases recovered with complete epithelization of ulcers: in 5 cases with
a transparent and in 2 cases with a “cloudy” opacity, among herpetic keratitis with ulceration (2 patients) were registered 1 recovery and 1
improvement, deep corneal ulcers (17 patients) recovered in 14 cases by full epithelialization of ulcers with the formation of a local opacity and
improved in 3 cases. By the time of withdrawal of the biological coverage the visual acuity in this group increased by 0.5 – 0.7 from the original
data. So, it was established that the double coverage of the cornea with amniotic membrane accelerated 2 times the corneal epithelization and the
resorption of necrotic masses, caused a faster reduction of the inflammatory process, resulted in a transparent epithelization of ulcerous defect
4 times better and a period of hospitalization shortened by 2.5 times in comparison with the single coverage. |
||||||
Cuvinte-cheie corneal pathology, keratoamnioplasty, amniotic membrane |
||||||
|