• 
• 
• 
• 
  • Ogłoszenia
  • Plan wydawniczy
  • Regulamin ogłaszania prac
  • Zasady recenzowania i recenzenci
• 
• 
• 
• 

Wydanie 4/2007
str. 49

Zabiegi równoczesnego przeszczepu rogówki z chirurgią zaćmy wykonywane w okresie 5-letnim w Klinice Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie

Simultaneous Keratoplasty and Cataract Surgery Performed in the Department of Ophthalmology Medical University of Warsaw During 5 years

Anna Kamińska, Grażyna Minkiewicz-Timler, Monika Udziela, Marta Szymańska-Świderska, Jerzy Szaflik

Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie Kierownik: prof. dr hab. n. med. Jerzy Szaflik

Summary: Purpose: Retrospective evaluation of indications, results of treatment and possible complications in patients who had undergone penetrating keratoplasty combined with cataract surgery.
Material and Methods: The study was performed in 238 patients (239 eyes) including 98 men and 140 women aged 11-87 years (mean 66.7) operated in the Department of Ophthalmology Medical University in Warsaw in years 2000-2005. Patients were divided into two groups (according to the procedure type): group I-188 patients (189 eyes) – penetrating keratoplasty, cataract extraction and implantation of posterior chamber intraocular lens, group II – 50 patients (50 eyes) – penetrating keratoplasty, anterior chamber intraocular lens removal and implantation of posterior chamber intraocular lens with transscleral fixation.
Follow-up period ranged from 5 years to 6 months. Indications to the surgery were dystrophies and degenerative diseases of cornea including Fuchs endothelial dystrophy and bullous keratopathy, postinflammatory conditions of cornea, posttraumatical conditions.
Results: Visual acuity before and after operation, final postoperative visual acuity, graft rejection and necessity of other procedures in postoperative period were analyzed.
Conclusions: Simultaneous keratoplasty and cataract surgery is a difficult procedure. Improvement of surgical techniques cause the late results more satisfactory. The proper postoperative management plays important role.

powrót