Ipsilaterale Autorotationskeratoplastik und Kataraktextraktion bei Patienten mit vernarbendem Trachom in Oman

Ein Erfahrungsbericht zur optischen Rehabilitation

Translated title of the contribution: Ipsilateral autorotational keratoplasty and cataract extraction in patients with trachoma and trauma in Oman: RReport on visual rehabilitation

A. A. Bialasiewicz, U. Wali, R. Shenoy, A. Thakral, N. Al-Fadhil, G. R. Syed

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aim: To report on the results of visual rehabilitation by ipsilateral rotational keratoplasty (IRK) and cataract extraction in 17 patients with trachoma and with trachoma and trauma in Oman over 3 years. Patients: Of 25 patients operated from 2001-2004 with IRK, extracapsular cataract extraction, and intraocular lens implantation, 17 eyes of 17 patients with cicatricial trachoma (WHO stage CO) could be followed up after 1 year. Group 1 comprised 11 eyes with ciatricial trachoma. In group 2, six eyes had additional traumatic corneal scars. Methods: Surgery was performed using a motor trephine Keratron (Geuder), the Accurus 800 (Alcon) phacovitrectomy machine, and calculation for intraocular lens implantation (IOL: MZ60BD, Alcon) with a topography (Atlas, Humphrey Zeiss)-supported SRK II formula (OcuScanRxP, Alcon). Results: Although only four of 17 patients had preoperative visual acuity (VA) at 5 m and one of 17 had VA at 1 m, postoperatively seven of 17 patients gained VA at 5 m and six of 17 at 1 m. Ambulatory vision was regained in 13 of 17 (78%) patients. Patients with trachoma and trauma benefited more from the surgery [vision increase in trachoma: eight of 11 eyes (73%); trachoma and trauma: five of five eyes (100%)]. Postoperative spherical refraction was -12.0D to +4.0D (median:+4.0D), and astigmatism ranged from 10D to 0.3D (median 5.35D). One eye was lost because of uncontrolled keratitis. Conclusions: IRK with cataract extraction may provide ambulatory vision in patients with cicatricial trachoma and secondary dry eye syndrome living in developing countries where donor grafts are difficult to obtain and where postoperative follow-up of high-risk keratoplasty is impaired.

Original languageGerman
Pages (from-to)340-345
Number of pages6
JournalOphthalmologe
Volume106
Issue number4
DOIs
Publication statusPublished - Apr 1 2009

Fingerprint

Oman
Trachoma
Corneal Transplantation
Cataract Extraction
Rehabilitation
Wounds and Injuries
Visual Acuity
Intraocular Lens Implantation
Dry Eye Syndromes
Astigmatism
Keratitis
Atlases
Carbon Monoxide
Developing Countries
Tissue Donors
Transplants

Keywords

  • Astigmatism
  • Autorotation keratoplasty
  • Trachoma
  • Visual rehabilitation

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Ipsilaterale Autorotationskeratoplastik und Kataraktextraktion bei Patienten mit vernarbendem Trachom in Oman : Ein Erfahrungsbericht zur optischen Rehabilitation. / Bialasiewicz, A. A.; Wali, U.; Shenoy, R.; Thakral, A.; Al-Fadhil, N.; Syed, G. R.

In: Ophthalmologe, Vol. 106, No. 4, 01.04.2009, p. 340-345.

Research output: Contribution to journalArticle

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abstract = "Aim: To report on the results of visual rehabilitation by ipsilateral rotational keratoplasty (IRK) and cataract extraction in 17 patients with trachoma and with trachoma and trauma in Oman over 3 years. Patients: Of 25 patients operated from 2001-2004 with IRK, extracapsular cataract extraction, and intraocular lens implantation, 17 eyes of 17 patients with cicatricial trachoma (WHO stage CO) could be followed up after 1 year. Group 1 comprised 11 eyes with ciatricial trachoma. In group 2, six eyes had additional traumatic corneal scars. Methods: Surgery was performed using a motor trephine Keratron (Geuder), the Accurus 800 (Alcon) phacovitrectomy machine, and calculation for intraocular lens implantation (IOL: MZ60BD, Alcon) with a topography (Atlas, Humphrey Zeiss)-supported SRK II formula (OcuScanRxP, Alcon). Results: Although only four of 17 patients had preoperative visual acuity (VA) at 5 m and one of 17 had VA at 1 m, postoperatively seven of 17 patients gained VA at 5 m and six of 17 at 1 m. Ambulatory vision was regained in 13 of 17 (78{\%}) patients. Patients with trachoma and trauma benefited more from the surgery [vision increase in trachoma: eight of 11 eyes (73{\%}); trachoma and trauma: five of five eyes (100{\%})]. Postoperative spherical refraction was -12.0D to +4.0D (median:+4.0D), and astigmatism ranged from 10D to 0.3D (median 5.35D). One eye was lost because of uncontrolled keratitis. Conclusions: IRK with cataract extraction may provide ambulatory vision in patients with cicatricial trachoma and secondary dry eye syndrome living in developing countries where donor grafts are difficult to obtain and where postoperative follow-up of high-risk keratoplasty is impaired.",
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AU - Wali, U.

AU - Shenoy, R.

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AU - Al-Fadhil, N.

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