Diagnose und Therapie der diffusen lamellären Keratitis

Chapter 7: Incidence of Endophthalmitis in Ophthalmic Surgery

Einsatz von Mitomycin C bei Trabekulektomien mit reduzierter Prognose

Der Antimetabolit Mitomycin C wird bei Trabekulektomien mit erhohtem Vernarbungsrisiko intraoperativ appliziert. Als Risikofaktoren fur eine Sickerkissenvernarbung durfen ein Patientenalter unter 40 Jahren, vorangegangene Entzundungen, eine durch Voroperationen oder durch langjahrige antiglaukomatose Therapie beeintrachtigte Bindehaut und eine starke Pigmentierung angesehen werden.

Corneal tattooing: an alternative treatment for disfiguring corneal scars.

Background: The performance and results of corneal tattooing are described in a case series of 11 patients suffering from a disfiguring corneal scar using a technique similar to conventional dermatography. Methods: Drawing ink in different shades was applied into the anterior corneal stroma by punctures performed with a conventional spatula needle. Results: Up to 4 years after surgery all patients still had satisfactory staining of the formerly cosmetically disfiguring corneal scar. Conclusion: Tattooing of unsightly corneal scars proved to be an efficient and easy to perform technique, yielding acceptable results during follow up.

Survival After Transplantation of Corneas From a Rabies-Infected Donor

To examine the tissue samples of 2 corneal recipients from a rabies-infected donor for the presence of rabies to explain their survival.Interventional case series with a review of the literature. The explanted corneal donor buttons were examined via nested reverse transcriptase polymerase chain reaction. The patients were followed up ophthalmologically and neurologically. Antirabies antibodies were measured in blood samples, and skin biopsies were examined by direct fluorescent antibody staining.Two patients received corneas from the same multiorgan donor. Six weeks after transplantation, 3 of the donor's organ recipients became symptomatic and rabies virus was confirmed in tissue from the …

Hornhaut-Tätowierung

Management and outcomes after multiple corneal and solid organ transplantations from a donor infected with rabies virus

BACKGROUND: This article describes multiple transmissions of rabies via transplanted solid organ from a single infected donor. The empirical Milwaukee treatment regimen was used in the recipients. METHODS: Symptomatic patients were treated by deep sedation (ketamine, midazolam, and phenobarbital), ribavirin, interferon, and active and passive vaccination. Viral loads and antibodies were continuously monitored. RESULTS: Recipients of both cornea and liver transplants developed no symptoms. The recipient of the liver transplant had been vaccinated approximately 20 years before transplantation. Two recipients of kidney and lung transplants developed rabies and died within days of symptomatic d…