29 KB457 KB24 KB192920262010Globočnik Petrovič, MojcaPfeifer, VladimirŠtunf, Špela7 straniletnik:79str. I-79-I-85številka:suplementISSN:1318-0347COBISSID:27816921URN:URN:NBN:SI:doc-LV7PUT9WenSlovensko zdravniško društvoZdravniški vestnikCorneal TransplantationEye Injuries, PenetratingkeratoplastikaKeratoplastika penetrantnaKeratoplasty, PenetratingoftalmologijaokoOko, poškodbe penetrantnepoškodberoženicaRoženica, presaditevVitrectomyVitrektomijaCombined penetrating keratoplasty and pars plana vitrectomy with the use of temporary keratoprosthesis| Kombinirana operacija presaditve roženice in pars plana vitrektomije z uporabo začasne keratoproteze|Background: Severe ocular trauma is surgically challenging and prognostically questionable due to injury of anterior and posterior segment. We evaluated theoutcome of combined penetrating keratoplasty and pars plana vitrectomy withthe use of temporary keratoprosthesis (PKP+PPV/TK) for such cases. Methods: In a retrospective study records of 7 patients (7 eyes) with severe ocular trauma, who underwent PKP+PPV/TK in 2002-2007 at the Eye Hospital Univesity Clinical Centre Ljubljana, were evaluated. Final follow-up was done in 2008. Results: The length of follow-up was 1-6 years (mean 3.3). All patients were male, 20 to 61-years- -old. The mechanisms of injury were explosion, assault or injury with an object. There were 6 open globe injuries,of them one with IOFB, and one contusion with partial thickness corneal laceration and posttraumatic fungal keratitis and endophthalmitis. Retinal detachment occurred in 5 patients. Visual acuity at presentation was light perception (LP) in 6 patients, one patient was sedated. The PKP+PPV/TK was performed within two days (2), 10-15 days later (3) and more than 1 month later (2). The visual outcome at the final follow-up was 0.9-1.0 cc in 2 patients, satisfactory (0.1 cc) in one, and bad (LP) in 3 patients. One painful blind eye was enucleatedTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo