Stitched up: full thickness corneal grafts

Dua, Harminder S; Jayaswal, R; Said, Dalia G.

doi:10.1136/bjo.2008.145482

Cited by 6 publications

(5 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Advantages of using tectonic DSAEK in frank corneal perforations compared to anterior lamellar or full thickness tectonic grafts includes avoidance of sutures related complications, such as corneal vascularization, irregular astigmatism and delayed visual recovery. 9, 10 Unlike emergency gluing with cyanoacrylate, which is our first line treatment for such patients, tectonic DSAEK may be a definitive rather than an often temporizing measure, and the stromal substrate of the DSAEK may promote re-epithelialization across the perforation site sooner than glue which is cytotoxic. In case 1, tectonic mini-DSAEK was a definitive measure with no further intervention required other than uncomplicated cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

Sutureless Tectonic Mini-Descemet's Stripping Automated Endothelial Keratoplasty (“mini-DSAEK”) for the management of corneal perforations

Roberts

Gunasekera

Law

et al. 2021

European Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose To report the outcomes of a new technique, pull-through sutureless ‘mini-DSAEK’, to manage corneal perforations secondary to different aetiologies including trauma, neurotrophic ulcer following penetrating keratoplasty (PK), herpes simplex keratitis and microbial keratitis. Methods In this retrospective case series, we report the clinical outcomes of five cases of sutureless tectonic mini-DSAEK performed in patients presenting with large corneal perforations to Southend University Hospital between November 2019 and October 2020. One corneal perforation was sufficiently peripheral for the tectonic mini-DSAEK graft to be successfully positioned outside of the central visual axis. Four corneal perforations were central or paracentral for which the tectonic grafts involved the visual axis. Results Anterior chambers remained deep and formed with no evidence of leak in all subsequent follow ups in all patients representing 100% tectonic success. All tectonic grafts remained attached except one partially detached graft. One patient underwent uneventful phacoemulsification with intraocular lens implant 8 months after the primary intervention with excellent visual outcome. Two patients underwent two-piece mushroom PK and one patient underwent triple procedure (cataract extraction + intraocular lens + PK) for visual rehabilitation 2–6 months after the primary intervention with good visual outcome. Conclusion Sutureless tectonic pull-through mini-DSAEK is a useful technique in the management of corneal perforations, with a number of advantages compared with conventional techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Sutureless Tectonic Mini-Descemet's Stripping Automated Endothelial Keratoplasty (“mini-DSAEK”) for the management of corneal perforations

Roberts

Gunasekera

Law

et al. 2021

European Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…In Colombia, several institutions already exist with Da Vinci, so it would be interesting to train health professionals in these new technologies to improve the quality of life of patients. The U.S. Food and Drug Administration approved the Implantable Miniature Telescope (IMT), which works like the telephoto lens of a camera in 2010 [32,33].…”

Section: Haptics and Robotics For Ophthalmic Surgery And Therapymentioning

confidence: 99%

Are nanotechnology and robotics alternatives for therapeutic and theragnostic ophthalmic applications technologies for eye care services

Ospina¹

2013

J. Ocul. Dis. Ther.

View full text Add to dashboard Cite

Objective: To identify new technological advances in biotechnology, nanotechnology and robotics and their application in diagnosis and therapeutics for visual health. Methodology: The systematic review was made in Journal of Engineering, Journal of Biomedical Nanotechnology, NIH Public Access, Investigative Ophthalmology & Visual Science, Intechweb open access journal and books, among others for a total review of 43 articles and 6 books. The databases used were: NLM Catalogue, (NCBI), Scirus, CiteSeer and open access (Intechopen, Hindawi) with the advances in nanotechnology, artificial vision and robotics applied to visual health. Results: Retina implants, ocular memristors, ocular electrodes and chips, digital cameras and smart phone applications for low vision patients are some of the new alternatives in technology for the diagnosis based on biotechnology and nanotechnology and on the several years of job of interdisciplinary and multidisciplinary researchers of different fields to make innovation useful for visual impairment, ocular microbiology and molecular immunodiagnostics. The FDA recently approved the retina implants and this opened a new field to allow converting light signals into electrical signals. On the other hand, in the field of pharmacology, ocular nano-carrier molecules for sustained release of drugs and other devices to vitrectomies are some of the significant health advance studies for the future in visual health. Additionally, in the field of contact lenses and artificial corneas: biopolymers for biosensors have been developed for early detection of keratoconus and systemic diseases. Conclusions: Nanotechnology, biotechnology, robotics and bio-molecular biology are emerging and convergent sciences that when applied to visual sciences will be helpful for the patients, and are an increase in papers on innovation of this field, involving a multidisciplinary team requiring new divulgation in the role and performance of the visual health professionals of the future. To know and divulgate these new technologies is important for continued joint efforts around global education, and to create a database with new keywords, in order to know who and where these innovations are improving around the world, to planning researcher mobility and to include these new valuable technologies in the curriculum of visual health and get the patient safe.

show abstract

“…Eine Wunddehiszenz bzw. Ruptur nach einer perforierenden Keratoplastik (PK) kann spontan oder nach einem stumpfen Augentrauma auftreten [1][2][3][4][5][6][7][8][9][10][11][12]. Die Wunddehiszenz erhöht das Risiko einer Endophthalmitis, eines Korneaödems, einer Hornhauttransplantatabstoßung, einer choroidalen Blutung und weiterer Komplikationen [3,5].…”

unclassified

“…Die Wunddehiszenz erhöht das Risiko einer Endophthalmitis, eines Korneaödems, einer Hornhauttransplantatabstoßung, einer choroidalen Blutung und weiterer Komplikationen [3,5]. Nach einer PK kann noch nach vielen Jahren eine selbst geringe Gewalteinwirkung eine Wunddehiszenz verursachen [2,4,7,[13][14][15][16][17][18]. Wird genügend Kraft angewendet, kann es bei jedem Auge zur Ruptur kommen [1].…”

unclassified

“…Es wurde keine Korrelation zwischen dentopischen Steroiden und der Spontandehiszenz gefunden. Geplante Fadenentfernungen können unvorhersehbare Refraktionsfehler hervorrufen, deshalb ist es wichtig, dass man vorher mit den Patienten spricht[7]. In unserer Studie wurde lediglich unter den traumatischen Fällen ein Auge mit herpetischer Keratitis als Ursache für eine PK beobachtet.…”

unclassified

See 1 more Smart Citation

Merkmale von traumatischen und spontanen Wunddehiszenzen nach perforierender Keratoplastik

Pahor

2013

Klin Monatsbl Augenheilkd

View full text Add to dashboard Cite

show abstract

Stitched up: full thickness corneal grafts

Cited by 6 publications

References 24 publications

Sutureless Tectonic Mini-Descemet's Stripping Automated Endothelial Keratoplasty (“mini-DSAEK”) for the management of corneal perforations

Sutureless Tectonic Mini-Descemet's Stripping Automated Endothelial Keratoplasty (“mini-DSAEK”) for the management of corneal perforations

Are nanotechnology and robotics alternatives for therapeutic and theragnostic ophthalmic applications technologies for eye care services

Merkmale von traumatischen und spontanen Wunddehiszenzen nach perforierender Keratoplastik

Contact Info

Product

Resources

About