Lamellar sclerokeratoplasty: review of the literature and description of a special technique using fibrin glue and a giant hydrophilic contact lens

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dc.contributor.authorArenas, Eduardo L.
dc.contributor.authorMieth, Alexandra
dc.date.accessioned2020-03-27T18:35:42Z
dc.date.available2020-03-27T18:35:42Z
dc.date.issued2019
dc.description.abstractenglishLamellar sclerokeratoplasty is a surgical procedure described since 1979 by Lim in China and reported by different surgeons in the world. Our purpose is to report a modified technique in which not only the whole cornea with a scleral rim is utilized, but the importance of including the whole Schlemm's canal area is also insisted; therefore, a new aqueous humor drainage pathway can be restored. The technique is designed for cases in which not only the whole cornea is decompensated, but also have untreatable glaucoma. This procedure replaces the entire anterior segment with a clear donor cornea including the limbus and part of the trabecular meshwork. We present the results of visual acuity by the logMAR scale of 55 cases from 110 patients receiving this surgical technique. The results describe 39 cases that had visual improvement after more than 1 year of follow-up and 16 cases that did not improve in their visual acuity. Large-diameter sclerokeratoplasty is an alternative and therapeutic option to eliminate the entire corneal pathology, while obtaining structural and even optical results with a lower immunological reaction. It can be considered an option in cases that are not suitable for standard grafting procedures. © 2019 Taiwan J Ophthalmol | Published by Wolters Kluwer-Medknow.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.4103/tjo.tjo_54_19
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2211-5072
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2181
dc.language.isoeng
dc.publisherTaiwan journal of ophthalmologyspa
dc.publisher.journalTaiwan journal of ophthalmologyspa
dc.relation.ispartofseriesTaiwan journal of ophthalmology, 2211-5072, Vol. 9, Nro. 3, 2019, p. 160-165spa
dc.relation.urihttps://www.e-tjo.org/article.asp?issn=2211-5056;year=2019;volume=9;issue=3;spage=160;epage=165;aulast=Arenas
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf431
dc.rights.creativecommons2019
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subject.decsProcedimientos quirúrgicos operativosspa
dc.subject.decsImplantes de drenaje de glaucomaspa
dc.subject.decsEstudios de casosspa
dc.subject.keywordsCorneal transplantspa
dc.subject.keywordsSclerokeratoplastyspa
dc.subject.keywordsPenetrating keratoplastyspa
dc.titleLamellar sclerokeratoplasty: review of the literature and description of a special technique using fibrin glue and a giant hydrophilic contact lensspa
dc.title.translatedLamellar sclerokeratoplasty: review of the literature and description of a special technique using fibrin glue and a giant hydrophilic contact lens
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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