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Triple procedure 'a chaud'

N Gabrić1, L Henc-Petrinović, I Dekaris

  • 1Department of Ophthalmology, Lions Croatian Eye Bank, Sveti Duh General Hostpital, Zagreb.

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|January 1, 1996
PubMed
Summary

Urgent corneal surgeries were performed on 24 patients despite active inflammation. Procedures included partial perforative keratoplasty with various combined surgeries, achieving visual acuity improvements in over 60% of patients.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Intraocular Procedures

Background:

  • Acute uveitis is a primary contraindication for intraocular surgeries.
  • Severe corneal pathologies necessitate immediate surgical intervention, overriding contraindications.

Purpose of the Study:

  • To evaluate the outcomes of urgent intrabulbar procedures in patients with severe corneal pathologies.
  • To assess the safety and efficacy of combined surgical techniques in complex ocular cases.

Main Methods:

  • Retrospective analysis of 24 patients undergoing urgent surgery for corneal pathologies.
  • Procedures included partial perforative keratoplasty, secondary PCIOL implantation, and triple procedures.
  • Surgical combinations were tailored to preoperative status, including aphakia, pseudophakia, and complicated cataracts.

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Main Results:

  • 12 patients had perforated corneal ulcers, 10 imminent perforations, and 2 corneal melting syndrome.
  • Visual acuity improvement (0.2-0.8) was achieved in 29.2% at 3 months and 37.5% at 6 months.
  • 12.5% of patients required rekeratoplasty due to postoperative complications.

Conclusions:

  • Urgent intrabulbar surgery is feasible and can yield positive visual outcomes in select cases with severe corneal disease.
  • Combined surgical approaches, including keratoplasty and intraocular lens implantation, can effectively manage complex ocular conditions.
  • Careful patient selection and tailored surgical strategies are crucial for successful outcomes in these challenging cases.