Penetrating Keratoplasty

Diagnosis and Treatment of Postoperative Complications

Maria Severin, Karl-Ulrich Bartz-Schmidt (Autoren)

Buch | Softcover

X, 146 Seiten

2001 | Softcover reprint of the original 1st ed. 2000
Springer Berlin (Verlag)
978-3-642-64083-4 (ISBN)

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Thus this book impressively reflects many years of surgi A successful penetrating keratoplasty has many prerequi sites, for example suitable donor tissue, careful harvesting cal experience and can impart this to younger operating v of the donor eye and donor cornea, the possibility of suit surgeons and many colleagues who assist in the care of able short-term conservation, an atraumatic transplant the patients. technique using modern corneoscleral trephination instru Since the key to long-term visual rehabilitation of kerato ments as well as a problem-orientated perioperative phar plasty patients can be found in the knowledge presented macotherapy. All of these factors contribute to the here, we hope this book will enjoy the largest possible cir immediate success of the operation. More decisive for the culation. long-term success of the transplant and therefore more One is unable to conclude this preface without a word of thanks from the Department of Ophthalmology of the Uni important for the patient is, however, the early recognition versity of Cologne to the author for the many years during of immunogenic and non-immunogenic complications which she directed the keratoplasty consultation service. from the moment of the patient's discharge from hospital. In view of the multitude of interactions between the recipi These thanks are also in the name of our patients who ent eye and the donor cornea there is a complex spectrum benefited from her expert care.

1 Introduction.- 1.1 Immunological Transplant Lesions.- Literature Review.- Pathogenesis.- Predisposing Factors, Percentage Incidence.- Immune Reaction and Bilateral Keratoplasty.- 1.2 Non-immunological Surface Changes.- 1.3 Glaucoma.- 1.4 Recurrence of the Primary Disorder.- References Chapter 1.- 2 Epithelial Complications.- 2.1 Immunological Origin.- 2.2 Non-immunological Origin.- Disturbed Lacrimal Moistening.- Toxic Damage from Medication.- Mechanical Damage.- 2.3 Differential Diagnosis.- References Chapter 2.- 3 Subepithelial Complications.- 3.1 Immunological Origin.- 3.2 Non-immunological Origin.- 3.3 Differential Diagnosis.- References Chapter 3.- 4 Stromal Complications.- 4.1 Immunological Origin.- Subepithelial Infiltrates.- Superficial Necrosis.- Acute Stromal Necrosis.- 4.2 Non-immunological Origin.- Suture Infiltrates, Crystalline Infectious Keratopathy.- Ulcer Caused by Infection.- 4.3 Differential Diagnosis.- Subepithelial Infiltrates.- Superficial Necrosis.- Crystalline Keratopathy.- Stromal Necrosis.- References Chapter 4.- 5 Endothelial Complications.- 5.1 Immunological Origin.- Endothelial Function and Immune Reaction.- Endothelial Immune Reaction, Variations in Course.- Focally Progressive.- Diffuse.- 5.2 Non-immunological Origin.- Loss of Endothelial Cells (Redistribution) 55 Ingrowth of the Epithelium.- 5.3 Differential Diagnosis 56 Linear Endothelial Lesions.- Diffuse Form of Endothelial Immune Reaction - Iritis - Herpetic Iritis.- References Chapter 5.- 6 Recurrence of the Primary Disorder.- 6.1 Hereditary Corneal Dystrophies.- Stromal Corneal Dystrophies.- Granular Corneal Dystrophy.- Lattice Corneal Dystrophy.- Macular Corneal Dystrophy.- Reis-Buecklers Corneal Dystrophy.- Posterior Polymorphic Corneal Dystrophy.- 6.2 Keratoconus.- 6.3 Degenerations.- Salzmann’s Corneal Degeneration.- Droplet Keratopathy.- 6.4 Herpes.- 6.5 Keratomalacia in Collagenosis.- 6.6 Differential Diagnosis.- Granular Corneal Dystrophy.- Herpes and Herpetiform Changes in the Transplant Surface.- References Chapter 6.- 7 Glaucoma.- 7.1 Acute Postoperative Rise of IOP.- 7.2 Chronic Secondary Glaucoma.- 7.3 Glaucoma in Combination with Inflammatory Lesions and Steroids.- 7.4 Diagnosis of Glaucoma.- 7.5 Differential Diagnosis.- References Chapter 7.- 8 Late Complications.- 8.1 Immunological Origin.- Epithelial Immune Reactions.- Subepithelial Infiltrates.- Stromal Necrosis.- Endothelial Immune Reactions.- Late Endothelial Khodadoust Line.- Diffusely Distributed Precipitates.- 8.2 Non-immunological Origin.- Epithelial and Surface Stroma.- Bacterial / Mycotic Keratitis.- Herpetic Keratitis.- Late Complications due to Contact Lenses.- 8.3 Surgery and Late Complications.- Suture Removal.- Intraocular Surgery.- 8.4 Ingrowth of Epithelium.- 8.5 Lens Opacities.- 8.6 Mooren’s Ulcer.- 8.7 Pseudoexfoliation.- 8.8 Traumatic Wound Rupture.- References Chapter 8.- 9 Therapy.- 9.1 Systemic Therapy.- Immunosuppressants.- Steroids.- Azathioprine.- Cyclosporine A.- Virustatics.- Antibiotics.- Antiglaucomatous Agents.- 9.2 Local Therapy.- Immunosuppressants.- Steroids.- Cyclosporine A.- Virustatics.- Antibiotics, Antimycotics.- Antiglaucomatous Agents.- Lubricants.- Contact Lenses.- 9.3 Treatment in Specific Complications.- Immune Reaction.- Epithelial Immune Reaction.- Subepithelial Infiltrates.- Immunological Stromal Reaction / “Rejection Reaction”.- Endothelial Immune Reaction.- Non-immunological Changes.- Surface Disorders.- Non-immunological Stromal Changes.- Endothelium - Iritis.- Aqueous Humor.- Glaucoma.- References Chapter 9.

Erscheinungsdatum	20.12.2018
Zusatzinfo	X, 146 p. 143 illus. in color.
Verlagsort	Berlin
Sprache	englisch
Maße	297 x 210 mm
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Augenheilkunde
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
Schlagworte	complication • complications • complications after cornea grafting • cornea grafting • Diagnosis • Differential Diagnosis • glaucoma • management after cornea grafting • necrosis • pathogenesis • Planning • Surgery • therapy • Treatment
ISBN-10	3-642-64083-4 / 3642640834
ISBN-13	978-3-642-64083-4 / 9783642640834
Zustand	Neuware