Treatment of rodent ulcer with keratoepithelioplasty and lamellar keratoplasty Shiro Amano 1 , Tsutomu Sato 1 , Uchiko Kimura 1 , Mituru Sawa 2 1Dept of Ophthalmol, Fac of Med, Univ of Tokyo 2Dept of Corneal Transplantation, Fac of Med, Univ of Tokyo. pp.1801-1804
Published Date 1990/10/15
DOI https://doi.org/10.11477/mf.1410908280
  • Abstract
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We treated 5 eyes of severe rodent ulcer of the cornea by keratoepithelioplasty combined with lamellar keratoplasty. As standard procedure, we performed deep lamellar excision of the affected corneal area, resected the adjacent cojunctiva, and performed keratoepithelioplasty and lamellar ker-atoplasty. This procedure was repeated twice on 2eyes, so that a total of 7 surgeries were performed.

Two eyes followed uneventful and favorable postoperative course. Three eyes were beset with postoperative complications including graft melt-ing, recurrence of ulcer and epithelial defect. Finally, the whole corneal surface was covered by conjunctival tissue. Even in these cases, the surgical procedure was effective in reducing the pain and preventing perforation of the cornea.

Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.


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