The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical case

Clinical case of acute hydrops treatment using subtotal penetrating keratoplasty (PK) is presented. The diagnosis of acute hydrops was based on clinical and functional evaluations including optical coherent tomography (OCT). A part of diseased cornea was removed and examined under a light microscope...

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Main Authors: I. A. Loskutov, A. V. Zolotorevskiy, E. V. Larionov, K. A. Zolotorevskiy, A. A. Agafonova, A. V. Shipunova
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2014-07-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/28
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author I. A. Loskutov
A. V. Zolotorevskiy
E. V. Larionov
K. A. Zolotorevskiy
A. A. Agafonova
A. V. Shipunova
author_facet I. A. Loskutov
A. V. Zolotorevskiy
E. V. Larionov
K. A. Zolotorevskiy
A. A. Agafonova
A. V. Shipunova
author_sort I. A. Loskutov
collection DOAJ
description Clinical case of acute hydrops treatment using subtotal penetrating keratoplasty (PK) is presented. The diagnosis of acute hydrops was based on clinical and functional evaluations including optical coherent tomography (OCT). A part of diseased cornea was removed and examined under a light microscope. These studies revealed morphological changes in almost all corneal layers. OCT and histology demonstrated that PK was indicated to this patient. Recent literature data on the epidemiology and pathogenesis of acute hydrops are presented. This rare disease results from tears in the Descemet’s membrane that allow aqueous humor to enter the stroma. Current treatment is aimed to suppress corneal inflammation, restore endothelium and Descemet’s membrane integrity and drain stromal cysts to optimize cornea healing. In this case, subtotal PK was performed due to the significant corneal thinning and a high risk of its melting. «Material for corneal graft» (iLab, Moscow, Russia) was used as a donor material.
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spelling doaj.art-893a2f6168dd4d5db60355892d01b9532023-03-13T09:08:34ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452014-07-01112707410.18008/1816-5095-2014-2-70-7428The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical caseI. A. Loskutov0A. V. Zolotorevskiy1E. V. Larionov2K. A. Zolotorevskiy3A. A. Agafonova4A. V. Shipunova5Центр микрохирургии глаза НУЗ ДКБ им. Семашко Н . А . ОАО РЖДБанк АЙЛА БООО «ВИТАФОРМ »Банк АЙЛА ББанк АЙЛА БООО «Международный Офтальмологический Центр»Clinical case of acute hydrops treatment using subtotal penetrating keratoplasty (PK) is presented. The diagnosis of acute hydrops was based on clinical and functional evaluations including optical coherent tomography (OCT). A part of diseased cornea was removed and examined under a light microscope. These studies revealed morphological changes in almost all corneal layers. OCT and histology demonstrated that PK was indicated to this patient. Recent literature data on the epidemiology and pathogenesis of acute hydrops are presented. This rare disease results from tears in the Descemet’s membrane that allow aqueous humor to enter the stroma. Current treatment is aimed to suppress corneal inflammation, restore endothelium and Descemet’s membrane integrity and drain stromal cysts to optimize cornea healing. In this case, subtotal PK was performed due to the significant corneal thinning and a high risk of its melting. «Material for corneal graft» (iLab, Moscow, Russia) was used as a donor material.https://www.ophthalmojournal.com/opht/article/view/28кератоконуссквозная кератопластикаострый гидропс роговицыдонорский материал для пересадки роговицы
spellingShingle I. A. Loskutov
A. V. Zolotorevskiy
E. V. Larionov
K. A. Zolotorevskiy
A. A. Agafonova
A. V. Shipunova
The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical case
Oftalʹmologiâ
кератоконус
сквозная кератопластика
острый гидропс роговицы
донорский материал для пересадки роговицы
title The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical case
title_full The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical case
title_fullStr The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical case
title_full_unstemmed The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical case
title_short The treatment of acute corneal hydrops by subtotal penetrating keratoplasty. Clinical case
title_sort treatment of acute corneal hydrops by subtotal penetrating keratoplasty clinical case
topic кератоконус
сквозная кератопластика
острый гидропс роговицы
донорский материал для пересадки роговицы
url https://www.ophthalmojournal.com/opht/article/view/28
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