Clinical Indications for Penetrating Keratoplasty in Maharaj Nakorn Chiang Mai Hospital,
|
|
- Garey Norris
- 5 years ago
- Views:
Transcription
1 Thai J Ophthalmol Clinical Indications for Penetrating Keratoplasty in Maharaj Nakorn Chiang Mai Hospital, Somsanguan Ausayakhun, M.D.* Jinda Juntaramanee** ABSTRACT The preoperative clinical indications for 103 penetrating keratoplasties performed at Maharaj Nakorn Chiang Mai Hospital from 1990 through 1995 were reviewed. Corneal ulcer was the most common indication, accounting for 37.9%. Other major indications for penetrating keratoplasty were corneal leukoma (24.2%), bullous keratopathy (15.5%), corneal dystrophy and degeneration (11.7%) and regraft (8.7%). Comparision with previous report and other series was done. Thai J Ophthalmol 1997 ; January-June ll(1) : Key words : penetrating keratoplasty, corneal ulcer, leukoma, bullous keratopathy, dystrophy, degeneration, regraft. Introduction Changing indications for penetrating keratoplasty have been reports since the early 1940.'-~ The leading indications for penetrating keratoplasty varied not only from country to country but also institution to institution previous report and to other Material and Methods We reviewed the charts of all patients who underwent penetrating keratoplasty at our institution in the same Changes in the frequency of during the six-year period from January 1, 1990 through corneal disease, improvements in surgical technique, instrumentation, donor tissue preservation and pharmaw cological advances and the introduction of intraocular lenses have contributed to increasing numbers of December 31, Information obtained included patient age and sex, date of surgery and the preoperative clinical diagnosis for which penetrating keratoplasty was performed. penetrating keratoplasties in recent years?-" To identify. In cases of corneal ulcer, the etiologic causa- new trends in the changing indications for penetrating keratoplasty in our institution, we reviewed the clinical indications for 103 penetrating keratoplasty performed between 1990 and 1995 and compared these to our tive agents and the previous surgical procedures were recorded. In cases of regraft, the previous underlying diagnosis was noted when available. In cases of pseudophakic bullous keratopathy, the type of intraocular Department of Ophthnlmology, Faculty of Medicine, Chiang Mai University. ** Eye service, Out-Patient Department, Maharaj-Nakorn Chiang Mai Hospital. Vol. 11 No. 1
2 lens was recorded. Information was also obtained extensive ulcer, 16 of them (41%) had previous surgery regarding the frequency of combined penetrating before which were scleral graft (12 cases), conjunctival. keratoplasty and lens extraction with and without irltraocular lens implantation. Result Of the 103 penetrating keratoplasties, there were 96 patients whom 70' (72.9%) were male and flap (3 cases) and glue with contact lens (1 case). The etiologic causes of corneal ulcer were shown in Table 2. Fungal corneal ulcer was the most frequency among them (48.7%). Corneal leukoma was the second common indidation (24.2%). Bullous keratopathy ranked as the 26 (27.1%) were female. Three eyes had been operated third most frequent indication (15.5%). Pseudophakic twice and four patients had penetrating keratoplasty in bullous keratopathy was found in 8 cases while aphakic both eyes. The mean age of the patients was 42.3 bullous keratopathy was found in 2 of them (Table. 1). (standard deviation 20.1) years ; they ranged in age Other causes of bullous keratopathy included following " from 5 to 94 years. The age range of patients show a birnodial distribution, with a peak at the third decade glaucoma surgery (2 cases), postinflammation (2 cases), post surgery for remove foreign body in anterior and another peak at the sixth decade (Figure 1). Corneal ulcer was the most common indication, accounting for 37.9% of all penetrating keratoplasties chamber (I case) and idiopathic (1 case). Corneal dystrophy and degeneration was the fourth common indication of them (11.7%). Types of performed (Table 1). '~ost of them had perforated or dystrophy and degeneration were shown in Table 3. Age Range (decades) Fig. 1 Age distribution of patients undergoing penetrating keratoplasty in Maharaj Nakorn Chiang Mai Hospital, Thai J Ophthalmol January - June 1997
3 Clinical Indications for Penetrating Keratoplasty in Maharaj Nakorn Chiang Mai Hospital, I Table 1 Clinical indications for penetrating keratoplasty by year Indication Total (%) - Corneal ulcer (37.9) Corneal leukoma (24.2) Bullous keratopathy (15.5) - Pseudophakic (7.8) - Aphakic (1.9) - Other (5.8) Degeneration, dystrophy (11.7) ' Regraft (8.7) Trauma 2 2 (1.9) Total lo3 (loo) -. Table 2 Etiologic causes,of corneal ulcer Organism Eye % Fungus Bacteria Virus (HSV) Undetermined Total Table 3 Types of corneal dystrophy and degeneration Types Eyes % Gelatinous drop-like dystrophy Fuchs' dystrophy Band keratopathy Lattice dystrophy Keratoconus Total.I Vol. 11 No. 1 19
4 i Table 4 Previous diagnosis in regrafts Diagnosis Eyes % - Corneal ulcer Bullous keratopathy (Pseudophakic) (Aphakic) Gelatinous drop-like dystrophy Corneal leukoma Total Table 5 Lens extraction procedures associated with penetrating keratoplasty w Associated procedure Eyes % Triple procedure Intracapsular lens extraction Extracapsular lens extraction Total Table 6. Comparison reviews of indication for penetrating keratoplasty (%) Chiang Mai University Ramathibodi Hospital Chiang Mai University Vancouver ( ) ( )8 (1985-8'7)' ( )6 Will's Eye Hospital ( )' C. ulcer 37.9 C ulcer 38.9 C. leukoma 58.9 Bullous K 22.2 Pseudophakic BK 22.9 C. leukoma 24.2 C. leukoma 17.1 C. ulcer 23.3 (Pseudophakic) 10.5 Fuchs' dystrophy 16.3 Bullous K 155 Regraft 9.7 Dystrophy 5.4 (Aphakic) 7.6 Keratoconus 15.1 (Pseudophakic) 7.8 Aphakic BK 9.3 Aphakic BK 4.1 (Other) 4.1 Aphakic BK 14.4 (A~hakic) 1.9 Pseudophakic BK 5.6 Pseudophakic BK 4.1 Keratoconus 17.1 Regraft 9.0 (men) 5.8 C. leukoma 13.5 Degeneration 11.7 Regraft 12.1 & dystrophy Virus 9.0 Regraft Thai J Ophthalmol January -June 1997
5 Clinical Indications for Penetrating Keratoplasty in Maharaj Nakorn Chiang Mai Hospital, c Gelatinous drop-like dystrophy was in 50% of them which occured in 4 patients, 2 of them had penetrating keratoplasty in both eyes. Others included Fuchs' dystrophy (2 cases), band keratopathy (2 cases), keratoconus (1 case) and lattice degeneration (1 case). Regraft was the fifth frequent indication for penetrating keratoplasty in this report, accounting for 8.7% of them. In these regraft cases, corneal ulcer and bullous keratopathy were found to be the most common clinical diagnosis for the previous penetrating after corneal leukoma. Despite improvements in the medical management of corneal ulcer, the patiedts often. came in the advanced stage of the disease so most of them were therapeutic penetrating keratoplasty. Fungal corneal ulcer appeared to be the most causative agent, accounting for 49% of them. Corneal leukoma ranked as the second common indication. This disorder was usually the sequelae of corneal ulcer. When combined these two conditions together, corneal ulcer and corneal leukoma were the keratoplasty (33.3%), followed by gelatinous drop-like b dystrophy (22.2%) and corneal scar (11.1%) respectively (Table 4). Traumatic ruptured cornea was the least frequent indication among them, only 2 cases (19%) of all (Table 1). Penetrating keratoplasty was combined with lens extraction in 17 of 90 phakic eyes (Table 5). The triple procedures (combined penetrating keratoplasty, lens extraction and intraocular lens implantation) were major indication of penetrating keratoplasty in our country which was different from other reports of developed countriessp8 (Table 6). Bullous keratopathy was the third frequent indication for penetrating keratoplasty in our study. Pseudophakic bullous keratopathy seemed to be the major role among them. Differed from other reports, we found more common in the posterior chamber intraocular lens (6 in 8 cases). This finding may be caused by multifactorial factors. 8 (47.1%) while penetrating keratoplasty with Corneal dystrophy and degeneration was the extracapsular lens extraction or intracapsular lens fourth common indication for penetrating keratoplasty. L extraction were 5 (29.4%) and 4 (23.5%) respectively. Gelatinous drop-like dystrophy was more common among them since we found this disorder in 4 patients Discussion Our review showed that corneal ulcer has been the leading indication for penetrating keratoplasty, accounting for 38% of all the transplants done. This finding was the same that found in Ramathibodi Hospital review of period but differed from who 3 of them were in the same family. The same finding in. the literature that they were always bilateral and usually developed again in the transplanted graft.'2 Regraft was the fifth common indication. The frequency of regrafts in our study did not reflect the prognosis or the success rate of the primary operation our previous report conducted during ~~' since we gave priority for penetrating keratoplasty to At that time it was the second most common indication preserve eyes in the advanced diseases such as per- Vol. 11 No. 1 21
6 arraqau C~yq~r ila:: aum a'unrud 9 i forated corneal ulcer because we still had limited 1976 ; 81 : numbers of corneal donors. The previous diagnosis of 2. Smith RE, Mc Donald HR, ~esburn AB, Minckler ' DS. Penetrating keratoplasty : Changing indications,.. regrafts was similar to the primary indication which Arch Ophthalmol 1980 ; 98 : Robin JB, Gindi JJ, Koh K, et al. An update of were corneal ulcer, bullous keratopathy, corneal dysthe indications for penetrating keratoplasty, trophy and corneal leukoma. through Arch Ophthalmol 1986 ; 104 : Traumatic rupture cornea was rarely done 4. Mohamadi P, Mc Donnell JM, Irvine JA, Mc penetrating keratoplasty since we usually had it done Donnell PJ, Rao N, Smith RE. Changing indications for penetrating keratoplasty, Am J later when it became corneal scar. Ophthalmol 1989 ; 107 : The frequency of lens extraction combined with 5. Brady SE, Rapuano CJ, Arentsen JJ, Cohen EJ, Laibson PR. Clinical indications for and procedures penetrating keratoplasty was found in 17 of 90 phakic associated with penetrating keratoplasty, Am J Ophthalmol 1989 ; 108 : eyes (19%). All of the intracapsular lens extraction 6. Damji KF, Rootman J, White VA, Dubord PJ, -' accidentally occured in cases of perforated corneal ulcer Richards JSF. Changing indications for penetrating with extensive synechiae. The triple procedures keratoplasty in Vancouver Can J Ophthaimol 1990 ; 25 : (penetrating kerato~1ast~7 lens and IoL 7. Duangratana S, Trakarnsilp S, Kitcharoen P. implantation) were found in 8 of them (47%). Penetrating keratoplasty in Maharaj Nakorn Chiang We did not report the visual outcome and the Mai Hospital : the visual result. Thai J Ophthalmol 1989 ; 3 : success rate of penetrating keratoplasty in this study. 8. Poonyathalang A. Simaroj P. Penetrating kerato- The main reason was some patients had lost follow up plasty in Ramathibodi Hospital ( ). Thai J Ophthalmol 1993 ; 7 : and Some of them went to follow Up at the private 9. Lang GK, Naumann GOH. The frequency of - clinics. corneal dystrophies requiring keratoplasty in Europe and the USA. Cornea 1987 ; 97 : In summary7 the indications for 10. Cohen EJ. Brady SE. Leavitt K, et al. Pseudopenetrating keratoplasty, in order of decreasing phakic bullous keratopathy. Am J Ophthalmol 1988 frequency, were corneal ulcer, corneal leukoma, bullous ; 106 : Speaker MG, Lugo M, Laibson PK, et al. Penekeratopathy, corneal dystrophy and degeneration and trating keratoplasty for pseudophakic bullous regraft. Corneal ulcer was the most common indication, keratopathy : Management of the intraocular lens. Ophthalmology 1988 ; 95 : accounted for 38% of all. 12. Smolin G. Corneal dystrophies and degenerations. In : Smolin G, Thoft RA, eds. The cornea : References Scientific foundations and clinical practice. Third 1. Arentsen JJ, Morgan B, Green WR. Changing edition. Boston : Little, Brown and company, indications for keratoplasty. Am J Ophthalmol 1994 : Thai J Ophthalmol January -June 1997
7 Clinical lndications for Penetrating Keratoplasty in Maharaj Nakorn Chiang Mai Hospital, Clinical lndications for Penetrating Keratoplasty in - Maharaj Nakorn Chiang Mai Hospital, a - Key words : penetrating keratoplasty, corneal ulcer, leukoma, bullous keratopathy, dystrophy, degeneration, regraft. Vol. 11 No. 1
Indications for keratoplasty in Nepal:
Original article Indications for keratoplasty in Nepal: 2005-2010 Bajracharya L 1, Gurung R 1, DeMarchis EH 2, Oliva M 3, Ruit S 1, Tabin G 4 1 Tilganga Institute of Ophthalmology, Gaushala, Kathmandu,
More informationVisual outcome in patients undergoing penetrating keratoplasty
International Journal of Research in Medical Sciences Singh G et al. Int J Res Med Sci. 2015 Jan;3(1):244-249 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Research Article DOI: 10.5455/2320-6012.ijrms20150144
More informationPATIENT INFORMATION ON CORNEAL GRAFT
PATIENT INFORMATION ON CORNEAL GRAFT (TRANSPLANT) SURGERY M ANANDAN What is the cornea? The clear window of the eye approximately 0.5mm thick and 12mm across. It lies in front of the fluid filled anterior
More informationCorneal graft rejection in African Americans at Howard University Hospital
Saudi Journal of Ophthalmology (2011) 25, 285 289 King Saud University Saudi Journal of Ophthalmology www.saudiophthaljournal.com www.ksu.edu.sa www.sciencedirect.com ORIGINAL ARTICLE Corneal graft rejection
More informationIndications for Corneal Transplantation at a Tertiary Referral Center in Tehran
Original Article Indications for Corneal Transplantation at a Tertiary Referral Center in Tehran Mohammad Zare, MD; Mohammad-Ali Javadi, MD; Bahram Einollahi, MD Alireza Baradaran-Rafii, MD; Siamak Zarei
More informationCodes for Medically Necessary Contact Lenses
Codes for Medically Necessary Contact Lenses CPT Codes for Medically Necessary Prescribing Preamble for the 9231X Codes The prescription of contact lenses includes specification of optical and physical
More informationRepeat penetrating keratoplasty: indications and prognosis,
European Journal of Ophthalmology / Vol. 19 no. 3, 2009 / pp. 362-368 Repeat penetrating keratoplasty: indications and prognosis, 1995-2005 ZULEYHA YALNIZ-AKKAYA, AYSE BURCU NUROZLER, ELVIN HATICE YILDIZ,
More informationJMSCR Vol 06 Issue 11 Page November 2018
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i11.77 Short-Term Outcome of Penetrating
More informationCHAPTER 2 CORNEAL TRANSPLANTATION. Editors: Dr. Shamala Retnasabapathy Dr. Choong Yean Yaw Dr. Michael Law Sie Haur
CHAPTER 2 Editors: Dr. Shamala Retnasabapathy Dr. Choong Yean Yaw Dr. Michael Law Sie Haur Expert Panel: Dr. Shamala Retnasabapathy (Chair) Dr. Choong Yean Yaw (Co-chair) Dr. Jonathan Choon Siew Cheong
More informationICD-10-CM Cornea. Type RT LT OU SINGLE CODE UNSPECIFIED. Acute atopic conjunctivitis H10.11 H10.12 H10.13 X H10.10
ICD-10-CM Cornea Conjunctiva Acute atopic conjunctivitis H10.11 H10.12 H10.13 H10.10 Acute chemical conjunctivitis H10.211 H10.212 H10.213 H10.219 Acute conjunctivitis, unspecified H10.31 H10.32 H10.33
More informationSubject Index. Atopic keratoconjunctivitis (AKC) management 16 overview 15
Subject Index Acanthamoeba keratitis, see Infective keratitis Acute allergic conjunctivitis AKC, see Atopic keratoconjunctivitis Allergy acute allergic conjunctivitis 15 atopic keratoconjunctivitis 15
More informationSecondary Intraocular Lens Implantation in University Hospital l, Kuala Lumpur
Secondary Intraocular Lens Implantation in University Hospital l, Kuala Lumpur Fathilah Jaais, MRCOphth, Department of Ophthalmology, Faculty of Medicine, University of Malaya, Lembah Pantai, 50603 Kuala
More informationFUCH S DYSTROPHY & CATARACT SURGERY TREATMENT ALGORITHM
FUCH S DYSTROPHY & CATARACT SURGERY TREATMENT ALGORITHM ΙΟΑΝΝΙS Α. MALLIAS, MD, PHD Director of the Dept. of Ophthalmology, Mediterraneo Hospital, Glyfada, Athens, Greece Clinical Fellow in Cornea and
More informationGENERAL INFORMATION CORNEAL TRANSPLANTATION
GENERAL INFORMATION CORNEAL TRANSPLANTATION WHAT IS CORNEAL TRANSPLANTATION? A corneal transplant is an operation where a damaged or diseased cornea is replaced with donated, healthy tissue. Also called
More informationCorneal Transplantation (PK) Penetrating Keratoplasty
Corneal Transplantation (PK) Penetrating Keratoplasty Why do you need a corneal transplant? The cornea is a window of transparent tissue at the front of the eyeball. It allows light to pass into the eye
More informationPENETRATING KERATOPLASTY
CLINICAL SCIENCES Risk Factors for Various Causes of Failure in Initial Corneal Grafts Marianne O. Price, PhD; Robert W. Thompson, Jr, MD; Francis W. Price, Jr, MD Objective: To determine the risk factors
More informationNEW YORK UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY EDUCATIONAL OBJECTIVES AND GOALS
NEW YORK UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY EDUCATIONAL OBJECTIVES AND GOALS Revision Date: 6/30/06 Distribution Date: 7/6/06 The Department of Ophthalmology at the NYU Medical Center
More information2009 Eye Banking Statistical Report Eye Bank Association of America th Street, N.W. Suite 1010 Washington, DC Phone (202) Fax
2009 Eye Banking Statistical Report Eye Bank Association of America 1015 18th Street, N.W. Suite 1010 Washington, DC 20036 Phone (202) 775-4999 Fax (202) 429-6036 www.restoresight.org Introduction 2009
More informationGLAUCOMA TREATED WITH DIAMOX*t PRELIMINARY REPORT OF 20 CASES
Brit. J. Ophthal. (1955) 39, 659. GLAUCOA TREATED WITH DIAOX*t PRELIINARY REPORT O 20 CASES BY S.. DRANCE Oxford THE use of Diamox in logically follows riedenwald's concept that the bicarbonate ion is
More informationOutcomes of Penetrating Keratoplasty for Macular Corneal Dystrophy
Outcomes of Penetrating Keratoplasty for Macular Corneal Dystrophy Farid Karimian, MD; Ali-Reza Baradaran-Rafii, MD; Sepehr Feizi, MD Mohammad Zare, MD; Mohammad-Reza Jafarinasab, MD; Mohammad-Ali Javadi,
More informationMedical Affairs Policy
Medical Affairs Policy Service: Corneal Treatments and Specialized Contact Lenses (Corneal remodeling, Corneal transplant, Corneal collagen crosslinking, Intrastromal Rings- INTACS, Keratoconus treatments,
More informationPreoperative risk factors and incidence of glaucoma after penetrating keratoplasty
International Journal of Clinical Trials Hemanth Raj MN et al. Int J Clin Trials. 2014 Aug;1(2):55-61 http://www.ijclinicaltrials.com pissn 2349-3240 eissn 2349-3259 Research Article DOI: 10.5455/2349-3259.ijct20140804
More informationJournal of Ophthalmic Medical Technology. Fuchs Dystrophy Amy Hischier
Journal of Ophthalmic Medical Technology Volume 8, Number 1 October 2013 www.jomtonline.com Fuchs Dystrophy Amy Hischier Patient History: A 55 year old female complained that both of her eyes were red,
More informationChoroidal detachment following retinal detachment surgery: An analysis and a new hypothesis to minimize its occurrence in high-risk cases
European Journal of Ophthalmology / Vol. 14 no. 4, 2004 / pp. 325-329 Choroidal detachment following retinal detachment surgery: An analysis and a new hypothesis to minimize its occurrence in high-risk
More informationWindows2016 Update What s New in My Specialty? cornea. May 20, 2016 OGDEN SURGICAL-MEDICAL SOCIETY CONFERENCE
Windows2016 Update What s New in My Specialty? cornea May 20, 2016 OGDEN SURGICAL-MEDICAL SOCIETY CONFERENCE This presentation has no commercial content, promotes no commercial vendor and is not supported
More informationTable 1. Characteristics of patients. Postoperative Comorbidity acuity band keratopathy. Visual Cause of. Case Age (Yr) Sex F/U (Month)
착색양막을이용한띠각막병증의미용적치료 1459 Table 1. Characteristics of patients Case Age (Yr) Sex F/U (Month) Visual Cause of Postoperative Comorbidity acuity band keratopathy complications 1 19 M 13 NLP * PHPV Injection,
More informationRevitalization of the Anterior Segment: Corneal Transplantation and Secondary Lens Repair
Revitalization of the Anterior Segment: Corneal Transplantation and Secondary Lens Repair CATHERINE REPPA, MD CORNEA SPECIALIST, ASSISTANT PROFESSOR TTUHSC DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES
More informationOutcome of Penetrating Keratoplasty from a Corneal Unit in Pakistan
Original Article Outcome of Penetrating Keratoplasty from a Corneal Unit in Pakistan Muhammad Nasir Bhatti, Yawar Zaman, P.S. Mahar, Azizur Rahman, Muhammad Fazal Kamal, Mazhar-ul-Hassan, Partab Rai Pak
More informationTrabeculectomy combined with cataract extraction: a follow-up study
British Journal of Ophthalmology, 1980, 64, 720-724 Trabeculectomy combined with cataract extraction: a follow-up study R. S. EDWARDS From the Birmingham and Midland Eye Hospital, Church Street, Birmingham
More informationORIGINAL RESEARCH. Abstract:
ORIGINAL RESEARCH A study of frequency and etiopathogenesis of corneal blindness at tertiary health care centre Nikose A 1, Sthapak A 2, Ladhdha P 3, Bisen H 4, Kabra A 5, Bisen R 3 Abstract: 1 Associate
More informationClinical Policy Title: Corneal transplants (keratoplasty)
Clinical Policy Title: Corneal transplants (keratoplasty) Clinical Policy Number: 10.03.04 Effective Date: April 1, 2015 Initial Review Date: November 19, 2014 Most Recent Review Date: November 16, 2016
More informationSclerokeratoplasty David S. Chu, M.D. Cases
Sclerokeratoplasty David S. Chu, M.D. Cases Case 1 40 year-old female from Peru presented to our Service with inflamed OS for 2 months duration. Her symptoms began as red painful OS, which progressively
More informationDr. Harvey Richman, OD, FAAO, FCOVD Diplomate American Board of Optometry Executive Committee AOA Third Party Center Founder Ask the AOA Coding
Dr. Harvey Richman, OD, FAAO, FCOVD Diplomate American Board of Optometry Executive Committee AOA Third Party Center Founder Ask the AOA Coding Experts 92000 Codes Special Ophthalmological Services Describe
More informationLong-Term Follow-up of Corneal and Sclero- Corneal Grafting in Severe Eye Perforations
Original Article Long-Term Follow-up of Corneal and Sclero- Corneal Grafting in Severe Eye Perforations Qasim Mansoor, Roa Rashad Qamar, S. Biswas, H.P. Adhikary Pak J Ophthalmol 2006, Vol. 22 No.2.................................................................................................
More informationEndothelial keratoplasty (EK) is probably the most
in a Public Hospital in Southern Brazil: first series of 24 consecutive cases. Diane Marinho, Sérgio Kwitko, Bruno Schneider de Araujo, Felipe Pigozzi Cabral, Melissa Dal Pizzol, Tiago Lansini Endothelial
More informationImplantation of a corneal graft keratoprosthesis for severe corneal opacity in wet blinking eyes
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Interventional procedure consultation document Implantation of a corneal graft keratoprosthesis for severe corneal opacity in wet blinking eyes The cornea
More informationMEDICAL POLICY SUBJECT: CORNEAL ULTRASOUND PACHYMETRY. POLICY NUMBER: CATEGORY: Technology Assessment
MEDICAL POLICY SUBJECT: CORNEAL ULTRASOUND,, PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including
More informationClinical Policy Title: Corneal transplants (keratoplasty)
Clinical Policy Title: Corneal transplants (keratoplasty) Clinical Policy Number: 10.03.04 Effective Date: April 1, 2015 Initial Review Date: November 19, 2014 Most Recent Review Date: November 16, 2017
More informationA Clinical Study on Visual Outcome and Complications of Penetrating Keratoplasty
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 14, Issue 6 Ver. I (Jun. 2015), PP 49-60 www.iosrjournals.org A Clinical Study on Visual Outcome and
More informationOriginal Article Retrospective analysis of corneal transplantation: a tertiary hospital database study over ten years
Int J Clin Exp Med 2018;11(7):6824-6831 www.ijcem.com /ISSN:1940-5901/IJCEM0069798 Original Article : a tertiary hospital database study over ten years Yaping Jiang 1,2, Minjie Sheng 1, Yue Zhang 3, Xiaoyan
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: endothelial_keratoplasty 9/2009 6/2018 6/2019 6/2018 Description of Procedure or Service Endothelial keratoplasty
More informationSENARAI KADAR CAJ YANG TELAH MENDAPAT KELULUSAN ( JABATAN OFTALMOLOGI )
SENARAI KADAR CAJ YANG TELAH MENDAPAT KELULUSAN ( JABATAN OFTALMOLOGI ) PTJ : JK.55 : JABATAN OFTALMOLOGI (JOFT) Sub PTJ : JK.55.01 : AM No Item Code / Name 1 1674 11674 - ANTERIOR CHAMBER WASHOUT 95.00
More informationSILICONE OIL INJECTION INDUCED GLAUCOMA: INCIDENCE AND MANAGEMENT
SILICONE OIL INJECTION INDUCED GLAUCOMA: INCIDENCE AND MANAGEMENT Ahmad Elsayed Hudieb Department of Ophthalmology Faculty of Medicine, Al- Azhar University ABSTRACT Purpose: Intravitreal silicone oil
More informationProtocol. Endothelial Keratoplasty
Protocol Endothelial Keratoplasty (90322) Medical Benefit Effective Date: 04/01/14 Next Review Date: 11/18 Preauthorization No Review Dates: 01/14, 11/14, 11/15, 11/16, 11/17 Preauthorization is not required.
More informationFleck. Pre-Descemet Dystrophies (generally good vision and comfort) Primary Pre-Descemet Dystrophy
Fleck Etiology: bilateral, sometimes asymmetric, autosomal dominant opacities located in all levels of stroma as early as 1 st decade Slit lamp: well demarcated, small round gray-white doughnut-like, wreath-like
More informationAre You a Candidate for Corneal Transplantation?
Are You a Candidate for Corneal Transplantation? www.fleyedocs.com Se Habla Español Are You a Candidate for Corneal Transplantation? Close to 50,000 cornea transplants are now performed in the United States
More informationPreliminary Programme
In conjunction with the Serbian Society of Cataract and Refractive Surgeons 9 11 February 2018 Preliminary Programme General Information Venue Sava Centar, Milentija Popovića 9, Beograd 11070, Serbia Local
More informationCORNEAL CONDITIONS CORNEAL TRANSPLANTATION
GENERAL INFORMATION CORNEAL CONDITIONS CORNEAL TRANSPLANTATION WHAT ARE CORNEAL CONDITIONS? The cornea is the clear outer layer of the eye. Shaped like a dome, it helps to protect the eye from foreign
More informationObjectives. Tubes, Ties and Videotape: Financial Disclosure. Five Year TVT Results IOP Similar
Tubes, Ties and Videotape: Surgical Video of Glaucoma Implants and Financial Disclosure I have no financial interests or relationships to disclose. Herbert P. Fechter MD, PE Eye Physicians and Surgeons
More informationNEW OPPORTUNITIES OF USING THERAPEUTICAL CONTACT LENSES IN OCULAR SURGERY
NEW OPPORTUNITIES OF USING THERAPEUTICAL CONTACT LENSES IN OCULAR SURGERY Authors: Prof univ. dr. Adriana Stănilă, Dr. Elena Mihai, Dr. Adrian Teodoru, Dr. IonuŃ Costache The Clinical Department of Op
More informationEvaluation of secondary glaucoma following penetrating keratoplasty
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 14, Issue 9 Ver. III (Sep. 2015), PP 92-96 www.iosrjournals.org Evaluation of secondary glaucoma following
More informationDepartment of Ophthalmology
Department of Ophthalmology Period : 02/July/18 to 30/August/18 Semester : 7 th Semester Lecture Lesson Plan Sr. Date Topic Lesson plan Name of Faculty No. 1 02.07.18 Lens- Lens-Anatomy, Classification
More informationOCULAR HERPES simplex virus
CLINICAL SCIENCES Oral Acyclovir After Penetrating Keratoplasty for Herpes Simplex Keratitis Fabiana P. Tambasco, MD; Elisabeth J. Cohen, MD; Lien H. Nguyen, MD; Christopher J. Rapuano, MD; Peter R. Laibson,
More informationOriginal Article. Address for Correspondance Dr. Charu Mithal Upgraded Dept. of Ophthalmology, LLRM Medical College Meerut.
Original Article EVALUATION OF THE VISUAL OUTCOME AND COMPLICATION OF SECONDARY IMPLANTATION OF OPEN-LOOP ANTERIOR CHAMBER, SULCUS FIXATED POSTERIOR CHAMBER AND SCLERAL FIXATED POSTERIOR CHAMBER INTRAOCULAR
More informationJMSCR Vol 06 Issue 12 Page December 2018
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.160 Clinical and Demographic Profile
More informationDeep Anterior Lamellar Keratoplasty - Techniques
Deep Anterior Lamellar Keratoplasty - Techniques SHERAZ DAYA MD FACP FACS FRCS(Ed) FRCOphth Financial Disclosure Company Code 1. Abbott Medical Optics Inc. S 2. Bausch + Lomb C,L 3. Carl Zeiss Meditec
More informationCornea/Anterior Segment OCT. User Experience
Cornea/Anterior Segment OCT User Experience User Experience Case#1 Post Penetrating Keratoplasty Tokyo Medical University / Kohsei Chuo General Hospital Hideki Mori MD, PhD Almost eight years have passed
More informationClinical study of traumatic cataract and its management
Clinical study of traumatic cataract and its management Original article Manjula Mangane, M.R. Pujari, Chethan N. Murthy Department of Ophthalmology, Basaweshwar Teaching and General Hospital, Gulbarga,
More informationDr. D. Y. Patil Medical College, Pimpri, Pune
Dr. D. Y. Patil Medical College, Pimpri, Pune - 411 018 Period : 04/July/16 to 22/September/16 Semester : 7 th Semester Department : Ophthalmology Lecture Lesson Plan Sr No Date Topic Learning objectives
More informationThe Evolution of Corneal Transplantation
e-issn 2329-0358 DOI: 10.12659/AOT.905498 Received: 2017.05.25 Accepted: 2017.07.19 Published: 2017.12.15 The Evolution of Corneal Transplantation Authors Contribution: Study Design A Data Collection B
More informationVisual outcomes and complications following posterior iris-claw aphakic intraocular lens implantation combined with penetrating keratoplasty
DOI 10.1007/s00417-012-2226-y CATARACT Visual outcomes and complications following posterior iris-claw aphakic intraocular lens implantation combined with penetrating keratoplasty Johannes Gonnermann &
More informationClinical Policy: Refractive Surgery Reference Number: CP.MP. 391
Clinical Policy: Refractive Surgery Reference Number: CP.MP. 391 Effective Date: November 2007 Last Review Date: January 2016 Coding Implications Revision Log See Important Reminder at the end of this
More informationVarious Landmark. Clinical Clinical Trials: Trials: Cornea. Cornea is the first refractive media and also is the major. Sandeep Gupta MS,DNB
Clinical Clinical Trials: Trials: Cornea Various Landmark Corneal Clinical Trials Sandeep Gupta MS,DNB Sandeep Gupta MS,DNB, Parth Patel MBBS, B.V. Rao MS,DNB, Gagandeep Kaur MBBS, V.S. Gurunadh MS, M.A.
More informationDepartment of Ophthalmology
Period : 03/July/17 to 07/September/17 Semester : 7 th Semester Department of Ophthalmology Lecture Lesson Plan Sr 1 03.07.17 Uvea-Anatomy, Uvea-Anatomy, Classification of Uveitis Dr R Paranjpe Classification
More informationAging & Ophthalmology
Aging & Ophthalmology Pr Jean-Marie Rakic Dr Denis Malaise January 2018 Major ocular diseases 1. Cataract 2. Age-related macular degeneration 3. Ischemic optic neuropathy 4. Horton arteritis 5. Glaucoma
More informationBilateral Keratectasia 34 Years after Corneal Transplant
24 Bilateral Keratectasia 34 Years after Corneal Transplant Xavier Valldeperas a, b Martina Angi b, c Vito Romano d Mario R. Romano b, e a Department of Ophthalmology, Hospital Universitari Germans Trias
More informationTHERAPEUTIC CONTACT LENSES
THERAPEUTIC CONTACT LENSES Prof. Univ. Dr. Adriana Stanila Victor Papilian Faculty of Medicine Emergency Academic Hospital Sibiu Ocular Surface Research Center ROMANIA INTRODUCTION therapeuein greac =
More informationFACTORS AFFECTING THE OUTCOME OF CORNEAL REGRAFT SRINIVAS K. H & H. HARIPRASAD
TJPRC: International Journal of Ophthalmic Surgery and Ocular Pharmacology (TJPRC: IJOSOP) Vol. 1, Issue 1, Jun 2017, 33-48 TJPRC Pvt. Ltd. FACTORS AFFECTING THE OUTCOME OF CORNEAL REGRAFT ABSTRACT SRINIVAS
More informationNon-Descemet Stripping Automated Endothelial Keratoplasty for Bullous Keratopathy in Buphthalmic Eye
DOI: 10.1159/000446103 Published online: June 2, 2016 2016 The Author(s) Published by S. Karger AG, Basel This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International
More informationEndothelial Keratoplasty
Endothelial Keratoplasty Policy Number: 9.03.22 Last Review: 11/2017 Origination: 11/2015 Next Review: 11/2018 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for Endothelial
More informationPublication list of Dr. Alfred T S Leung
Publication list of Dr. Alfred T S Leung No. of journal articles: 51 (as of January 2012) 1. Lam DS, Fan DS, Chan WM, Tam BS, Kwok AK, Leung AT, Parsons H. Prevalence and characteristics of peripheral
More informationComplication and Visual Outcome after Peadiatric Cataract Surgery with or Without Intra Ocular Lens Implantation
Original Article Complication and Visual Outcome after Peadiatric with or Without Intra Ocular Lens Implantation Mazhar-ul-Hasan, Umair A. Qidwai, Aziz-ur-Rehman, Nasir Bhatti, Rashid H. Alvi Pak J Ophthalmol
More informationPediatric traumatic cataract Presentation and Management. Dr. Kavitha Kalaivani Pediatric ophthalmology Sankara Nethralaya Nov 7, 2017
Pediatric traumatic cataract Presentation and Management Dr. Kavitha Kalaivani Pediatric ophthalmology Sankara Nethralaya Nov 7, 2017 Management of Traumatic Cataract Ocular trauma presents many problems
More informationDr. Sean Socrates Da Silva
CURRICULUM VITAE Dr. Sean Socrates Da Silva ( 9900057706 sean.socrates@gmail.com Clinical Interests Key areas of interest include Refractive Corneal Surgery, Femtosecond laser applications, Phacoemulsification,
More informationDALK IN DANGEROUS INFECTIONS
32 INTERNATIONAL CONGRESS of the HELLENIC SOCIETY OF INTRAOCULAR IMPLANT AND REFRACTIVE SURGERY CORNEA ROUND TABLE: STROMAL REPAIR DALK IN DANGEROUS INFECTIONS, MD Clinica Degli Occhi Sarnicola, Grosseto
More informationTo Evaluate the Sociodemographic Factors And Etiology of Corneal Neovascularisation at out Patient Department of M.L.B Medical College, Jhansi.(U.
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 6 Ver. IV (June. 2016), PP 129-134 www.iosrjournals.org To Evaluate the Sociodemographic Factors
More informationDegenerations. Conditions with cloudy cornea at birth or in infancy
Dermoids The lesions are choristomas, which are congenital masses of tissue that have been dislocated from their normal position Limbal dermoids--overlapping the cornea and sclera, often inferotemporally
More informationIntroduction. Donor tissue preparation for Descemet Membrane Endothelial ASCRS Aim of dissection. DMEK graft preparation
Introduction Donor tissue preparation for Descemet Membrane Endothelial keratoplasty (DMEK) ASCRS - 2015 Endothelial Keratoplasty DSAEK / DSEK DMEK Donor lamellae stroma + DM + endothelium DM + endothelium
More informationTreatment of fungal keratitis by penetrating keratoplasty
1070 Shandong Eye Institute and Hospital, Qingdao 266071, PR China L Xie X Dong W Shi Correspondence to: Lixin Xie, MD, Shandong Eye Institute and Hospital, 5 Yanerdao Road, Qingdao 266071, PR China lixinxie@public.qd.sd.cn
More informationMEDICAL POLICY No R3 REFRACTIVE KERATOPLASTY / LASIK
REFRACTIVE KERATOPLASTY / LASIK Effective Date: November 10, 2017 Review Dates: 7/07, 6/08, 6/09, 6/10, 8/10, 8/11, 8/12, 8/13, 8/14, 8/15, 8/16, 8/17 Date Of Origin: July 2007 Status: Current Summary
More informationProgram= Loma Linda University Program
OPHTHALMOLOGY: PROGRAM REPORT (Main Table) Reporting Period: Total Experience of Residents Completing rams in 2008-2009 ram=2400521023 - Loma Linda University ram [PART 1 ] rams in the Nation: 115 Residents
More informationIssue 15 The following key clinical peer reviewed journals will be reviewed: MONTHLY RESEARCH UPDATE 151(3) American Journal of Ophthalmology 129(5)
Welcome to Bausch and Lomb s monthly research update. With our background in clinical ophthalmic research, mainly of the anterior eye, Bausch and Lomb have asked us to produce an independent report of
More informationPRESENTED By DR. FAISAL ALMOBARAK, MD
PRESENTED By DR. FAISAL ALMOBARAK, MD Early FAC associated with hypotony is an important complication after glaucoma filtering procedures, especially trabeculectomy. The reported incidence after trabeculectomy
More informationPhotochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia
Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia Issued: September 2013 guidance.nice.org.uk/ipg466 NICE has accredited the process used
More informationPreliminary Programme
In conjunction with the 33 rd HSIOIRS International Congress 15 17 February 2019 Preliminary Programme General Information Venue Megaron Congress Centre, Vas. Sofias Avenue and Kokkali Str., 11521 Athens,
More informationrhngf for neurotrophic keratitis first line
September 2015 Horizon Scanning Research & Intelligence Centre rhngf for neurotrophic keratitis first line LAY SUMMARY This briefing is based on information available at the time of research and a limited
More informationUse of Single Donor Cornea for 2 Lamellar Transplantation Procedures: DMEK and DALK
Use of Single Donor Cornea for 2 Lamellar Transplantation Procedures: DMEK and DALK ASCRS 2014 Electronic Poster Joshua C Teichman, MD, MPH, FRCSC; Larena Menant-Tay, BSc, OMT; Salina Teja, MD; Ronan Conlon,
More informationInterventional procedures guidance Published: 25 September 2013 nice.org.uk/guidance/ipg466
Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia Interventional procedures guidance Published: 25 September 2013 nice.org.uk/guidance/ipg466
More informationMeet Libby. Corneal Dysgenesis, Degeneration, and Dystrophies Definitions. Dr. Victor Malinovsky
Meet Libby Corneal Dysgenesis, Degeneration, and Dystrophies 2006 Dr. Victor Malinovsky Definitions Dysgenesis: (congenital anomalies) A development disorder that results in a congenital malformation of
More informationMorning Report. copyright The University of Colorado. Daniel Corbett, PGY-3. Preceptor: Drs. Singh and Gelston
Morning Report Daniel Corbett, PGY-3 Preceptor: Drs. Singh and Gelston 3 day old male with report of poor red reflex and cloudy cornea in both eyes OB Hx: Born via SVD @ 39.5 weeks. No trauma/forceps during
More informationPRECISION PROGRAM. Injection Technique Quick-Reference Guide. Companion booklet for the Video Guide to Injection Technique
Injection Technique Quick-Reference Guide PRECISION PROGRAM Companion booklet for the Video Guide to Injection Technique Available at www.ozurdexprecisionprogram.com Provides step-by-step directions with
More informationCorneal Graft or Transplant Patient information leaflet
Corneal Graft or Transplant Patient information leaflet Corneal Graft or Transplant/MQ/ST/08.2012/v1.2 review 08.2015 Page 1 Corneal Graft or Transplant The Cornea is the clear window at the front of the
More informationLaser Assisted Keratoplasty
Laser Assisted Keratoplasty Elizabeth H. Gauger and Kenneth M. Goins, M.D. October 15, 2009 Chief Complaint: Worsening vision in right eye History of Present Illness: 63 yo female with known history of
More informationPost- Penetrating Keratoplasty Glaucoma
Glaucoma Post- Penetrating Keratoplasty Glaucoma MBBS Mainak Bhattacharyya MBBS, Neha Rathie MBBS, Ritu Arora MD, DNB, Parul Jain MS, FICO Guru Nanak Eye Centre, New Delhi I association between penetrating
More informationConjunctival flap cover surgery: 10-year review
Original Article Conjunctival flap cover surgery: 10-year review Yong Yao 1, Vishal Jhanji 1,2 1 Joint International Eye Center, ShanTou University and The Chinese University of Hong Kong, Shantou 515041,
More informationCorneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant
Corneal transplants The cornea is the clear, front window of the eye. It helps focus light into the eye so that you can see. The cornea is made of layers of cells. These layers work together to protect
More informationSutureless Intrascleral Pocket Technique of Transscleral Fixation of Intraocular Lens in Previous Vitrectomized Eyes
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2014;28(2):181-185 http://dx.doi.org/10.3341/kjo.2014.28.2.181 Case Report Sutureless Intrascleral Pocket Technique of Transscleral Fixation of Intraocular
More informationIntrascleral-fixated intraocular lenses for aphakic correction in the absence of capsular support
European Journal of Ophthalmology / Vol. 17 no. 5, 2007 / pp. 714-719 Intrascleral-fixated intraocular lenses for aphakic correction in the absence of capsular support R.A. AZNABAYEV, I.S. ZAIDULLIN, M.S.H.
More informationNo-Touch Technique and a New Donor Adjuster for Descemet s Stripping Automated Endothelial Keratoplasty
This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (www.karger.com/oa-license), applicable to the online version of the article
More informationCorneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant
2014 2015 Corneal transplants The cornea is the clear, front window of the eye. It helps focus light into the eye so that you can see. The cornea is made of layers of cells. These layers work together
More information