logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Traumatic wound rupture after penetrating keratoplasty in Africa.

    Article - En anglais

    Aim-To investigate risk factors, visual outcome, and graft survival for traumatic wound rupture after penetrating keratoplasty.

    Methods-A retrospective analysis of 336 patients who underwent penetrating keratoplasty from 1988 to 1995.

    Results

    19 patients (5.7%) suffered traumatic postoperative wound rupture requiring surgical repair.

    They were younger (mean age 16.6 years, 95% CI 13.2-20.6) and more frequently keratoconic (p=0.01) than other patients (mean age 28.9 years, 95% CI 26. - 31.0).

    Mean postoperative follow up was 37.7 (SD 22.9) months and 24.5 (18.9) months for the rupture and non-rupture patients.

    Mean interval between keratoplasty and rupture was 18 (21) weeks.

    The lens was damaged and removed in 37% of ruptured eyes.

    For keratoconics, the probability of graft survival at 5 years was lower (p=0.03) in the ruptured eyes (75%) than in the non-ruptured eyes (90%). Endothelial failure was a more common (p<0.05) cause of graft opacification in ruptured grafts than in intact grafts.

    Of the ruptured eyes, 53% achieved a final corrected acuity of at least 6118 and 63% achieved at least 6/60 compared with 48% and 71% of the intact eyes respectively (both p>0.1).

    The proportion of keratoconic eyes which achieved at least 6/60 was lower (p=0.02) in the ruptured eyes (67%) than the non-ruptured eyes (87%). Eyes with wound ruptures of 5 clock hours or greater were less likely (p<0.05) to achieve an acuity of 6118 and were more likely (...)

    Mots-clés Pascal : Kératoplastie, Greffe transfixiante, Oeil, Rupture tissu, Greffon, Cornée, Complication, Postopératoire, Facteur risque, Kératocône, Age, Afrique, Homme, Chirurgie, Oeil pathologie, Kératopathie

    Mots-clés Pascal anglais : Keratoplasty, Penetrating graft, Eye, Tissue rupture, Graft(material), Cornea, Complication, Postoperative, Risk factor, Keratoconus, Age, Africa, Human, Surgery, Eye disease, Keratopathy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0274858

    Code Inist : 002B25B. Création : 16/11/1999.