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POSTERIOR LAMELLAR KERATOPLASTY FOR A PENETRATING CORNEAL GRAFT ENDOTHELIAL FAILURE

Abstract

Purpose. To evaluate the clinical and functional results of endothelial keratoplasty in endothelial insufficiency of a penetrating corneal graft.Material and methods. In 2019 6 femtolaser-assisted posterior lamellar keratoplasty with inverted formation of an ultrathingraft were performed in patients with secondary endothelial insufficiency of a penetrating corneal graft in Ufa Eye Research Institute. The observation period was 6 months.Results. In all cases, the graft acceptance was 100%. The graft remained clear, the border between grafts didn’t vary. Posteriorlamellar keratoplasty 3 weeks, 3 months and 6 months after surgery demonstrates a high visual acuity, low rates of induced postoperative astigmatism, as well as a lower loss of endothelial cells.Conclusion. Endothelial keratoplasty is a gentle method of treating endothelial failure, showing high clinical and functional re-sults. However, to assess acceptance and long-terms results follow-up is needed.

About the Authors

E. L. Usubov
ГБУ «Уфимский НИИ глазных болезней АН РБ»
Russian Federation


E. M. Rakhimova
ГБУ «Уфимский НИИ глазных болезней АН РБ»
Russian Federation


Ya. A. Rusakova
ГБУ «Уфимский НИИ глазных болезней АН РБ»
Russian Federation


References

1. Задняя послойная кератопластика при эндотелиальной патологии роговицы / О.Г. Оганесян [и др.] // Офтальмологические ведомости. - 2010. -Т.3.- № 4. - С. 16-22

2. Бикбов, М.М. Комбинированное лечение буллезной кератопатии / М.М. Бикбов, Л.Р. Яфаева // Вестник оренбургского государственного университета. - 2014. - №12. - С.61- 64

3. Бикбов, М.М. Автоматизированная эндотелиальная кератопластика с ультратонким трансплантатом в лечении буллезной кератопатии / М.М. Бикбов, З.Р. Марванова, Л.Р. Марванова // Практическая медицина. - 2012. - № 4. - С.83-83

4. Дрожжина, Г.И. Эндотелиальная кератопластика. Обзор литературы / Г.И. Дрожжина, Э.В. Поданевич // Офтальмологический журнал. - 2009. - №5. - 58 с

5. Ang, M. Endothelial keratoplasty after failed penetrating keratoplasty: an alternative to repeat penetrating keratoplasty / M.Ang, H. Ho, D.T.H. Tan. // American Journal of Ophthalmology. - 2014. - P.1221-1227

6. Descemet Membrane Endothelial Keratoplasty After Penetrating Keratoplasty: Features for Success / A. Einan-Lifshitz [et al.] // Cornea. - 2018. - №1. - p.5

7. Factors predictive of corneal graft survival. Report from the Australian Corneal Graft Registry / K.A.Williams [et al.] // Ophthalmology. 1992. - Vol. 99, № 3. - P. 403 - 414

8. Longterm graft survival after penetrating keratoplasty / R.W. Thompson Jr. [et al.] // Ophthalmology. - 2003 - Vol. 110, № 7. - P.1396 -1402

9. Outcomes of repeat penetrating keratoplasty and risk factors for graft failure / D.J. Weisbrod // Cornea. - 2003. - Vol. 22, № 5. P. 429 - 434

10. Al-Mezaine H. Repeat penetrating keratoplasty: indications, graft survival, and visual outcome / H. Al-Mezaine // Br J Ophthalmol. - 2006. - Vol. 90, № 3 - P. 324-327

11. Anshu A. Postoperative risk factors influencing corneal graft survival in the Singapore Corneal Transplant Study / A. Anshu, D. T H.. Tan // Am J Ophthalmol. - 2011. - Vol. 151, № 3. - P. 442 - 448

12. Bersudsky V. The profile of repeated corneal transplantation / V. Bersudsky // Ophthalmology. - 2001. - Vol. 108, № 3. P.461-469

13. Indications for and outcomes of repeat penetrating keratoplasty / N.P Patel. // Ophthalmology. - 2000. - Vol. 107, № 4. P. 719-724


Review

For citations:


Usubov E.L., Rakhimova E.M., Rusakova Ya.A. POSTERIOR LAMELLAR KERATOPLASTY FOR A PENETRATING CORNEAL GRAFT ENDOTHELIAL FAILURE. Bashkortostan Medical Journal. 2020;15(6):119-122. (In Russ.)

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ISSN 1999-6209 (Print)