Ozdemir Evin Singar, Burcu Ayse, Akkaya Zuleyha Yalnız, Ornek Firdevs
Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey.
Arq Bras Oftalmol. 2017 Jun;80(3):168-171. doi: 10.5935/0004-2749.20170041.
The purpose of this study was to determine the indications and frequency of evisceration after penetrating keratoplasty (PK).
The medical records of all patients who underwent evisceration after PK between January 1, 1995 and December 31, 2015 at Ankara Training and Research Hospital were reviewed. Patient demographics and the surgical indications for PK, diagnosis for evisceration, frequency of evisceration, and the length of time between PK and evisceration were recorded.
The frequency of evisceration was 0.95% (16 of 1684), and the mean age of the patients who underwent evisceration was 56.31 ± 14.82 years. The most common indication for PK that resulted in evisceration was keratoconus (37.5%), and the most common underlying cause leading to evisceration was endophthalmitis (56.25%). The interval between PK and evisceration ranged from 9 to 78 months.
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.
本研究旨在确定穿透性角膜移植术(PK)后眼球摘除术的适应症及发生率。
回顾了1995年1月1日至2015年12月31日在安卡拉培训与研究医院接受PK术后眼球摘除术的所有患者的病历。记录患者的人口统计学资料、PK的手术适应症、眼球摘除术的诊断、眼球摘除术的发生率以及PK与眼球摘除术之间的时间间隔。
眼球摘除术的发生率为0.95%(1684例中的16例),接受眼球摘除术患者的平均年龄为56.31±14.82岁。导致眼球摘除术的最常见PK适应症是圆锥角膜(37.5%),导致眼球摘除术的最常见潜在原因是眼内炎(56.25%)。PK与眼球摘除术之间的间隔时间为9至78个月。
尽管角膜移植术是组织移植中最成功的手术类型之一,但我们的研究结果表明,它与眼球摘除术的潜在风险相关。