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ISSN 1029-3035 (Electronic)

2015, Number 2

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Mediciego 2015; 21 (2)

Results of the optical penetrating keratoplasty in the Ciego de Avila Ophthalmic Center

Castro CK, Sigler MJG, Díaz DY, Morffi GE, Vega CK

Language: Spanish
References: 18
Page: 19-26
PDF size: 212.88 Kb.


ABSTRACT

Introduction: optical penetrating keratoplasty is the replacement of all corneal thickness from a donor with the purpose of returning the corneal transparency and improve visual acuity. The Ophthalmological Center of Ciego de Avila is attached to the National Program of Organ and Tissue Donation and penetrating keratoplasty surgery from 2011; 6 patients of optical corneal transplant have been operated up to the present. Objective: to describe some general aspects of patients undergoing this procedure in the corneal service of the Ophtalmological Center of Ciego de Avila. Method: the sample consisted of 6 patients, 4 male and two female, aged between 43 and 76 years. Results and Discussion: corneal conditions under which the surgical procedure is indicated: pseudophakic bullous keratopathy, corneal leukoma, corneal dystrophy gelatinous drop and graft rejection; all of them had impaired preoperative best corrected visual acuity in ranges of hand movements to 0.05 which improved three months after surgery between 0.2 and 0.5, also spherical and cylindrical components of refraction. Conclusions: optical penetrating keratoplasty meant an excellent treatment option for the investigated patients. It was found a recovery of spherical and cylindrical components in the postoperative refraction.


REFERENCES

  1. Gutiérrez Salinas J, Castillo Vázquez M, Galicia Carreón J, Galicia Tapia J. Historia del trasplante de córneas y los medios para su preservación. Med Int Mex. 2005;21:380-5.

  2. Boyd B. El Arte y la ciencia en la cirugía de la catarata. Panamá: Highlights of Ophthalmology; 2001.

  3. Santiesteban Freixas R. Historia de la Oftalmología en Cuba. 2da ed. La Habana: ECIMED; 2006.

  4. López M. Comportamiento clínico de los casos de queratoplastias penetrantes realizados en Centro Nacional de Oftalmología de enero 2006-marzo 2008 [tesis]. Managua: Universidad Nacional Autónoma de Nicaragua; 2008.

  5. Trigui A. Corneal graft rejection. Donor and receive implication. JFR Opthmol. 2005;28:631-4.

  6. Boruchoff A, Thoft R. The Cornea. En: Smolin G, Thoft R, editores. The Cornea. 2da ed. Boston: Little, Brown and Company; 1989. p. 543-75.

  7. Moreno ME, López SM, Escalona E, Castillo A, Padilla C, Vilches D. Relación donante-receptor en la evolución de la queratoplastia. Rev Cubana Oftalmol [Internet]. 2008 [citado 9 Ene 2015];21(1):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pi id=S0864-21762008000100010&lng=es

  8. Mokey MD. Rechazo y trasplante corneal. Rev Cubana Oftalmol. 2007;16(1):23-8.

  9. López S, Moreno ME, Escalona E, Castillo A, Pérez Z, Márquez S, et al. Queratoplastia: Características clínicas y evaluación de resultados. Rev Cubana Oftalmol [Internet]. Jun 2008 [citado 9 Ene 2015];21(1):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script= sci_arttext&pid=S0864-21762008000100008&lng=es

  10. Sigler Villanueva A. Queratoplastia de alto riesgo: A propósito de un caso. Rev Cubana Oftalmol. 2006;12(1):26-9.

  11. Eguía F, Rio M, Capote A. Manual de diagnóstico y tratamiento en Oftalmología. La Habana: ECIMED; 2009.

  12. Mokey CM. Indicaciones de la queratoplastia en un centro de referencia nacional. Rev Cubana Oftalmol. 2000;13(1):30-4.

  13. Hamrah P. Alto riesgo en la queratoplastia penetrante. Arch Soc Esp. 2005;80(1):5-7.

  14. Chalina L, Mrukwa-Kominek E. Corneal transplantation inmunological mechanisms of rejection episode. Klin Oczna. 2004;106(4-5):686-90.

  15. Simon M, Fellner P, El-Shabrawi Y, Ardjomand N. Influence of donor storage time on corneal allograft survival. Ophthalmol. 2004;111(8):1534-8.

  16. Koay PY, Lee WH, Figueiredo FC. Opinions and management of corneal graft rejection in the United Kingdom. Cornea. 2005;24(3):292-6.

  17. Alcolea EG, Tejeda AP, Pardo AA. Consideraciones inmunológicas sobre el rechazo del trasplante de córnea. Rev Cubana Hematol Inmunol Hemoter [Internet]. Dic 2010 [citado 9 Ene 2015];26(4):306-14. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid =S0864-02892010000400006&lng=es

  18. Barrera BR, Sánchez O, Marrero E, Días S. Queratoplastia en el Centro Oftalmológico del Hospital General Docente "Dr. Juan Bruno Zayas Alfonso". MEDISAN [Internet]. Dic 2011 [citado 9 Ene 2015];15(12):1690-1697. Disponible en: http://scielo.sld.cu/scielo.php?script= sci_arttext&pid=S1029-30192011001200002&lng=es




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