EEBA Program (PDF/3MB) - EEBA - Annual Meeting

PENETRATING KERATOPLASTY COMBINED WITH PARS PLANA VITRECTOMYM. Vlašić, Z. Tomić, N. Miličić, R. Lazić, I. DekarisSpecial Eye Hospital Svjetlost, Department of Ophthalmology, School of Medicine in Rijeka, University of Rijeka, CroatiaPurpose: To present our results of penetrating keratoplasty (PK) combined with pars plana vitrectomy(PPV) being one of the most difficult surgical procedure in ophtalmology. In Eye clinic „Svjetlost“ weperformed 9 PK combined with PPV procedure s out of total 270 corneal transplantations in periodfrom 2009 to 2012. In most cases the corneal pathology was result of prior vitroretinal surgery (siliconoil keratopathy) which was performed in other medical institutions. Indications for prior vitreoretinalprocedures were diabetic retinopathy and retinal detachment. All vitreoretinal procedures were donewith silicone oil tamponade. Because of reduced visibility of fundus there was no information aboutmacula and optic nerve condition. However, there was enough will in patients to go through thiscomplex surgical procedure.Methods: The combined procedure was performed using temporary keratoprosthesis. PK wasdone by the corneal surgeon and PPv by the retinal specialist. The use of silicon oil tamponade wasnecessary in all 9 cases.Results: The succes of surgery was defined as clear corneal graft maintenance (6 out of 9 cornealgrafts remained transparent), retinal attachment (retina remained attached in 8/9 patients) and normalintraocular pressure (average 16 mmHg ± 2,2 mmHg).Conclusions: In patients with simultaneus corneal and vitreoretinal pathology PK combined with PPVis used to restore normal anatomical integrity of the eye with some mainatained visual functionality.80