Equine pericardium for tectonic globe repair.

Details

Serval ID
serval:BIB_4E66293270AA
Type
Article: article from journal or magazin.
Collection
Publications
Title
Equine pericardium for tectonic globe repair.
Journal
International ophthalmology
Author(s)
Droutsas K., Papaconstantinou D., Georgalas I., Kymionis G., Andreanos K., Stamou E., Mamas N.
ISSN
1573-2630 (Electronic)
ISSN-L
0165-5701
Publication state
Published
Issued date
01/2019
Peer-reviewed
Oui
Volume
39
Number
1
Pages
225-230
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To describe the use of equine pericardium as an off-label temporary emergency treatment of scleral and corneal perforations.
Three eyes of two male patients aged 34 and 38 years were included, i.e. a case with a history of severe bilateral thermal burn undergoing phacoemulsification complicated by tearing of the main port causing iris exposure and a patient with bilateral corneal perforation secondary to non-infectious corneal melt due to presumed ocular non-steroid anti-inflammatory drug abuse. The equine pericardium patch was soaked in balanced salt solution, trimmed and sutured over the perforated area with interrupted nylon 10-0 sutures. Slit-lamp photographs were taken before and immediately after surgery as well as at 2 and 5 months postoperatively.
A watertight closure of the perforation was achieved in both cases. No evidence of infection, severe inflammation, leakage or hypotony was detected throughout the observation period. The first patient developed a pseudopterygium over the pericardium patch 5 months after surgery. The second patient showed at 2 months a bilateral melt of the pericardium and loosening of the sutures. After removal of the latter, a tectonically stable scar was evident in both eyes.
Equine pericardium offered an effective primary treatment in cases of non-infectious globe perforation and may be considered when other materials, e.g. amniotic membrane, corneal or scleral allografts, are not readily available. Further studies may further elucidate the safety and efficacy profile of this biomaterial in ophthalmic surgery.
Keywords
Globe perforation, Lyophilized equine pericardium, Tectonic patch
Pubmed
Create date
19/01/2018 9:30
Last modification date
21/08/2019 5:34
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