Challenges in pediatric endothelial keratoplasty
作者: Vikas MittalRuchi Mittal
刊名: Indian Journal of Ophthalmology, 2014, Vol.62 (2), pp.251-254
来源数据库: Directory of Open Access Journals
DOI: 10.4103/0301-4738.128638
关键词: BlindnessCataractEye lensRisk factorsTreatment of cataractLow vision careMultiple disabilities and visual impairmentReading performanceAccommodationPresbyopiaSupraciliary segment implantsAmblyopiaCiticolinePatchingCorneal endotheliumHuman corneal endothelial precursor cellsIn vitro expansionSphere forming assayThermo-reversible gelation polymerTransportationEndophthalmitisExplantationFungalIntraocular lensPostoperativeRecurrentColour perceptionLearning d
原始语种摘要: We performed endothelial keratoplasty (EK) in three eyes of two siblings (2.5 years, male and 3.5 years, female) with congenital hereditary endothelial dystrophy (CHED) and report the intraoperative and postoperative difficulties. Repeated iris prolapse, apprehension of crystalline lens touch due to positive vitreous pressure, and need for frequent air injections to attach the graft were intraoperative challenges in all three eyes. These were addressed by use of Sheet′s glide instead of Busin′s glide during graft insertion and suturing of main and side ports before air injection. One eye had graft dislocation on second postoperative day due to eye rubbing by the child. Graft was repositioned with air and a venting incision was created. Postoperative examination required repeated general...
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影响因子:1.019 (2011)

  • keratoplasty 角膜移植术
  • pediatric 儿科的
  • postoperative 手术后的
  • cataract 急流
  • endothelial 内皮的
  • corneal 角膜的
  • incision 切开
  • congenital 先天的
  • impairment 减损
  • dystrophy 营养障碍