Experiência inicial com a ceratoprótese de Dohlman-Doane: relato de casos

Stolz, Andressa Prestes; Kwitko, Sérgio; Pizzol, Melissa Manfroi Dal; Marinho, Diane Ruschel; Rymer, Samuel

doi:10.1590/s0004-27492008000200023

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…Boston type I keratoprosthesis is currently an important alternative in cases of corneal blindness for which penetrating keratoplasty does not offer a good prognosis [8][9][10]. An important advantage of Boston K-Pro is that there is no need of systemic immunosuppression [11].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Patients with Dohlman-Doane Type 1 Keratoprosthesis(Boston Kpro)

Kwitko¹

2015

J Clin Exp Ophthalmol

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Introduction:The aim of this study was to assess quality of life in patients undergoing implantation of a Dohlman keratoprosthesis.Materials and methods: Cross-sectional controlled, with patients undergoing implant Dohlman keratoprosthesis type I at the Hospital de Clinicas de Porto Alegre between September 2005 and May 2013. Two questionnaires of quality of life were administered in these patients SF-36 and VF-14. Furthermore, a retrospective patient charts analysis was performed.Results: Keratoprosthesis implant surgery was performed in 33 eyes of 26 patients. A statistically significant difference was found between groups (separated by visual acuity) for the questionnaire of visual acuity (p=0.01). In SF-36 domains, there were difference in general health (p=0.036), vitality (p=0.028) and mental health (p=0.037). On the Spearman correlation analysis, 5 of the 8 domains of the SF-36, correlated with visual questionnaire (VF-14), when analyzed for the entire sample. When we separated the analysis by subgroups (according to visual acuity), in the group of lowest visual acuity had only one domain correlation (mental health). In the group of best vision, the 5 domains remained with a positive association. Conclusion:Patients with greater visual acuity showed better results in the VF-14 responses, with a statistically significant difference between groups.

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Section: Discussionmentioning

confidence: 99%

Quality of Life in Patients with Dohlman-Doane Type 1 Keratoprosthesis(Boston Kpro)

Kwitko¹

2015

J Clin Exp Ophthalmol

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“…Vale lembrar que os casos de queimadura alcalina e de alto risco de rejeição, como múltiplos transplantes prévios, apresentam melhor prognóstico que os pacientes com doenças de membranas mucosas, como Stevens-Johnson, Lyell e penfigóide ocular cicatricial (9) . Dois tipos de K-Pro de Dohlman-Doane foram desenvolvidos, uma para pacientes com relativa boa hidratação da superfície ocular e fechamento palpebral (tipo 1) e outra para casos de severo olho seco, usada trans-palpebralmente (tipo 2).…”

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Ceratoprótese de Boston

Kwitko¹,

Stolz

2012

Rev. bras.oftalmol.

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RESUMOUma breve revisão de resultados e complicações da ceratoprótese (KPro) de Dohlman-Doane tipo 1. A KProDohlman-Doane é atualmente uma boa opção em casos graves de cegueira corneana, para os quais o transplante penetrante de córnea não apresenta bom prognóstico. As evoluções no design da KPro e as melhorias no procedimento cirúrgico, aliados a obtenção de condições favoráveis da superfície ocular pré-operatórias, garantem bons resultados da KPro em doenças não autoimunes. As principais complicações da KPro são membrana inflamatória retroprotética de fibrina, glaucoma, necrose corneana, vitreíte e infecção (ceratite e endoftalmite). Acompanhamento constante com exames pós-operatórios periódicos é necessário para monitorar e prevenir complicações sérias.Descritores:Doenças da córnea/cirurgia; Próteses e implantes; Implantação de próteses ABSTRACT A short review of type 1 Dohlman-DoaneKeratoprosthesis (KPro) addresses results and complications. Dohlman-DoaneKPro is today a good option for cases of corneal blindness with poor prognosis for traditional penetrating keratoplasty. KPro design and surgical improvements along with proper preoperative ocular surface condition allows good results in non-immune diseases. Main complications of this KPro areinflammatory retroprosthetic membrane, glaucoma, corneal melting,vitreitis, and infection (keratitis and endophthalmitis).Comprehensive long-term postoperative follow-up examinationsare needed to monitor for and prevent serious complications.

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Boston Keratoprosthesis-Associated Infections: Prevention and Therapeutics

Behlau

2014

Keratoprostheses and Artificial Corneas

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Experiência inicial com a ceratoprótese de Dohlman-Doane: relato de casos

Cited by 5 publications

References 10 publications

Quality of Life in Patients with Dohlman-Doane Type 1 Keratoprosthesis(Boston Kpro)

Quality of Life in Patients with Dohlman-Doane Type 1 Keratoprosthesis(Boston Kpro)

Ceratoprótese de Boston

Boston Keratoprosthesis-Associated Infections: Prevention and Therapeutics

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