Transplante terapêutico em úlceras de córnea bacterianas ativas

Autores:

Seiji Hayashi,

Élcio Hideo Sato,

Denise de Freitas,

Cláudio Luís Lottenberg,

Juliana Maria Ferraz,

Walton Nose

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.54 no.2 São Paulo mar./abr. 1991

http://dx.doi.org/10.5935/0004-2749.19910030

SUMMARY

A retrospective study was done in 10 patients with bacterial ulcers that underwent therapeutic penetrating keratoplasty. They were considered as failures of medical treatment. Visual improvement, complications, etiologic agent and its therapeutic value were discussed.

The keratoplasty was indicated in all cases of descemetocele with impending or present perforation. Pseudomonas sp was the most frequent isolated agent that represented 3 of the 10 cases. The visual acuity before surgery was worse than finger counting (FC) in all patients and it did not improve after the keratoplasty in most of the cases, except for one who reached the visual acuity of 20/25. The most frequent complications were the endothelial rejection (50%) and the posterior synechea (50%). One patient progressed to ocular atrophy.

Key words: Keratoplasty; therapeutic corneal transplant; bacterial corneal ulcer

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REFERÊNCIAS

1 SMOLIN. G. & THOFT, R.A. - The Cornea. Scientific Foudation and Clinical Practice. Boston Little, Brown and Company, 1987. 2º ed.: 543-4.

2 HILL, J.C. - Use of penetrating keratoplasty in acute bacterial keratitis. Br. J. Ophthalmol. 70: 502-6, 1986.

3 ZU, D.N.; QI, C.J.; MING, G. X.; TAO, X.H.; MAO, F.C. - The therapeutic keratoplasty in the management of purulent corneal ulceration - Report of 100 cases. Jpn. J. Ophthalmol. 23: 412-20, 1979.

4 SATO, E.H. - Transplante de córnea "a quente" em úlcera micótica - Estudo Clínico, microbiológico e histopatológico. São Paulo, 1989. (Tese de Mestrado, Escola Paulista de Medicina).

5 WEIDLE, E.G.: THIEL, H.J. - Keratoplastik à chaud als therapeutische Mabnahme bei akuten. Klin. Mbl. Augenheilk. 184: 520-8, 1984.

6 MALIK, S.R.K. & SINGH, G. - Therapeutic keratoplasty in Pseudomonas pyocyaneus corneal ulcers. Br. J. Ophthalmol. 55: 326-30, 1971.

7 CODERE, F.; BROWNSTEIN, S.; JACKCON, W.B. - Pseudomonas aeruginosa scleritis. Am. J. Ophthalmol. 91: 706-10, 1981.

8 LIMA, A.L.H.; NISHI, M.; LOTTENBERG, C.L.; GUIDUGLI, T. - Úlceras de córnea em serviço de referência. Arq. Bras. Oftal. 51(3): 118-20, 1988.

9 KUPFERMAN, A. & LEIBOWITZ, H.M. - Topical antibiotic therapy of Pseudomonas aeruginosa keratitis. Arch. Ophthalmol. 97: 1699, 1979.

10 BURNS, R.P. - Pseudomonas aeruginosa keratitis. Mixed infections of the eye. Am. J. Ophthalmol. 67: 257, 1969.

11 RABER, I.M.; LAIBSON, P.R.; KURZ, G.H.; BERNARDINO, V.B. - Pseudomonas corneal-scleral ulcers. Presented at the annual meeting of the Ocular Microbiology and Immunology Group, San Francisco, Nov. 3, 1979.

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