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Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty
OBJECTIVE: To investigate the incidence, causes, occurrence time, and range of wound and outcomes of wound dehiscence in patients treated by penetrating keratoplasty (PK) or lamellar keratoplasty (LK). METHODS: We retrospectively reviewed medical records of keratoplasty in Shandong Eye Hospital from...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079506/ https://www.ncbi.nlm.nih.gov/pubmed/30116625 http://dx.doi.org/10.1155/2018/1435389 |
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author | Wang, Xin Liu, Ting Zhang, Sai Qi, Xiaolin Li, Suxia Shi, Weiyun Gao, Hua |
author_facet | Wang, Xin Liu, Ting Zhang, Sai Qi, Xiaolin Li, Suxia Shi, Weiyun Gao, Hua |
author_sort | Wang, Xin |
collection | PubMed |
description | OBJECTIVE: To investigate the incidence, causes, occurrence time, and range of wound and outcomes of wound dehiscence in patients treated by penetrating keratoplasty (PK) or lamellar keratoplasty (LK). METHODS: We retrospectively reviewed medical records of keratoplasty in Shandong Eye Hospital from January 2006 to June 2017. Thirty-one eyes of 30 patients had sustained wound dehiscence (WD) after surgical treatment. The surgical type, causes, occurrence time, extent of the wound, treatment, and outcomes were recorded. RESULTS: The study population consisted of 26 men and 4 women. The mean age at the occurrence of WD was 44.6 years old (range: 12–78 years), and the mean time from keratoplasty to WD was 45.9 months (range: 1–204 months). WD occurred in 23 eyes (23/1385, 1.66%) after PK and 8 eyes (8/1632, 0.49%) after LK (p < 0.05). Twenty-seven eyes (27/31, 87.0%) had trauma-induced dehiscence. The mean range of dehiscence was 5.5 o'clock. The vision ranged from 20/50 to light perception after wound suture. The eyes receiving LK had fewer serious complications than PK. CONCLUSIONS: Compared with LK, PK seems to be more prone to result in wound dehiscence. The WD after LK may be less severe. The visual acuity after treatment of WD can be worse in the eyes with PK than LK. |
format | Online Article Text |
id | pubmed-6079506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-60795062018-08-16 Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty Wang, Xin Liu, Ting Zhang, Sai Qi, Xiaolin Li, Suxia Shi, Weiyun Gao, Hua J Ophthalmol Research Article OBJECTIVE: To investigate the incidence, causes, occurrence time, and range of wound and outcomes of wound dehiscence in patients treated by penetrating keratoplasty (PK) or lamellar keratoplasty (LK). METHODS: We retrospectively reviewed medical records of keratoplasty in Shandong Eye Hospital from January 2006 to June 2017. Thirty-one eyes of 30 patients had sustained wound dehiscence (WD) after surgical treatment. The surgical type, causes, occurrence time, extent of the wound, treatment, and outcomes were recorded. RESULTS: The study population consisted of 26 men and 4 women. The mean age at the occurrence of WD was 44.6 years old (range: 12–78 years), and the mean time from keratoplasty to WD was 45.9 months (range: 1–204 months). WD occurred in 23 eyes (23/1385, 1.66%) after PK and 8 eyes (8/1632, 0.49%) after LK (p < 0.05). Twenty-seven eyes (27/31, 87.0%) had trauma-induced dehiscence. The mean range of dehiscence was 5.5 o'clock. The vision ranged from 20/50 to light perception after wound suture. The eyes receiving LK had fewer serious complications than PK. CONCLUSIONS: Compared with LK, PK seems to be more prone to result in wound dehiscence. The WD after LK may be less severe. The visual acuity after treatment of WD can be worse in the eyes with PK than LK. Hindawi 2018-07-08 /pmc/articles/PMC6079506/ /pubmed/30116625 http://dx.doi.org/10.1155/2018/1435389 Text en Copyright © 2018 Xin Wang et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Wang, Xin Liu, Ting Zhang, Sai Qi, Xiaolin Li, Suxia Shi, Weiyun Gao, Hua Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty |
title | Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty |
title_full | Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty |
title_fullStr | Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty |
title_full_unstemmed | Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty |
title_short | Outcomes of Wound Dehiscence after Penetrating Keratoplasty and Lamellar Keratoplasty |
title_sort | outcomes of wound dehiscence after penetrating keratoplasty and lamellar keratoplasty |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079506/ https://www.ncbi.nlm.nih.gov/pubmed/30116625 http://dx.doi.org/10.1155/2018/1435389 |
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