[The surgical characteristics of patients with postburn vascularized leukomas]

In order to avoid neovascularization of corneal grafts in keratoplasty, 3 variants of keratoplasty are proposed for surgical treatment of after-burn vascularized leukomas of category III and IV. The variants were used for treatment of 25 patients with sequelae after chemical and thermic eye burns of degree II and III. The variants of keratoplasty were differentially used depending on the severity and the character of cicatricial after-burn changes in the eye. The schemes of the variants are proposed. The analysis of immediate and remote results (from 5 months to 4 years) after the usage of the three variants of keratoplasty has shown effectiveness of the proposed reconstructive interventions, the expediency of a differential approach to the choice of the method of keratoplasty, the importance of using collagenic coverings for protection of the graft from a mechanic trauma, infection as well as for stimulating the growth corneal epithelium.