The reasons for evisceration after penetrating keratoplasty between 1995 and
            2015

Şingar, Evin; Burcu, Ayşe; Akkaya, Züleyha Yalniz; Örnek, Firdevs

doi:10.5935/0004-2749.20170041

Cited by 2 publications

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“…reviewed 16 cases of post-PKP evisceration and found that the most common cause was endophthalmitis (56.25%), followed by corneal melting (25%) and trauma (18.75%). [ 7 ] We suspected that the causes of severe orbital content prolapse in our case were multiple PKP surgeries, graft failure with marked cornea thinning, and sudden increase of abdominal pressure due to a severe cough.…”

Section: Discussionmentioning

confidence: 98%

Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Chen

Tsai

2020

Taiwan J Ophthalmol

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Orbital implant exposure may be the most common complication after evisceration surgery with orbital implantation. Management of implant exposure is a vital issue for oculoplastic surgeons. We present the case of a patient with nontraumatic eyeball rupture receiving dermis-fat graft after early implant exposure. The present case with multiple penetrating keratoplasty history underwent emergent evisceration and silicon sphere implantation due to nontraumatic eyeball rupture with severe uvea prolapse. The surrounding corneal tissue of the rupture aperture was almost unidentified before the operation. Deep superior sulcus syndrome and orbital implant exposure developed 2 months after the operation; hence, orbital reconstruction and dermis-fat graft transplantation were performed. Orbital reconstruction and orbital implant exposure management are discussed in the content.

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Section: Discussionmentioning

confidence: 98%

Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Chen

Tsai

2020

Taiwan J Ophthalmol

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Clinical outcomes of traumatic globe rupture in corneal graft patients

Figueiredo,

Sandhu,

Shaw

2024

Int Ophthalmol

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Purpose This study reports the mechanisms, complications and graft survival following sight-threatening traumatic globe rupture in patients having previously undergone corneal transplantation in the same eye. Methods A retrospective, observational, single-center consecutive cohort study at the Royal Victoria Infirmary, Newcastle upon Tyne, UK over a 20-year period. Medical records and Newcastle Corneal Transplantation Service electronic database (eNCTS) review was undertaken of all consecutive patients who underwent corneal transplantation with a history of traumatic globe rupture. Main outcome measures include mechanism of injury, final best-corrected distance visual acuity (BCDVA), graft survival and complications. Results A total of 921 keratoplasties were undertaken between 1997 and 2017 with 24 (3.0%) patients identified with a history of traumatic globe rupture. A bimodal relationship of age and mechanism of trauma was observed. The mean age (SD) of individuals reporting cause as a fall was 71.5 (14.8) years, and 45.3 (20.8) years (P < 0.05) amongst individuals reporting accidental trauma or assault. The pre- and post-trauma mean (SD) LogMAR BCDVA was 0.6 (0.9) and 1.7 (1.0), respectively (P = 0.001). The overall graft-failure rate was 60.9% (11 grafts) during a mean (SD) follow-up period of 3.5 (4.1) years. Globe rupture with lens damage was associated with poorer final BCDVA (P < 0.05). Conclusions This study represents the first published series from England for this type of patient cohort. Overall visual outcomes were poor with a bimodal relationship of age and mechanism of trauma. Worse prognostic factors included lens and posterior segment complications. Re-grafting in these select group of patients may prove valuable.

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The reasons for evisceration after penetrating keratoplasty between 1995 and 2015

Abstract: Although keratoplasty is one of the most successful types of surgery among tissue transplantations, our findings show that it is associated with a possible risk of evisceration.

Cited by 2 publications

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Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Clinical outcomes of traumatic globe rupture in corneal graft patients

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