AIMTo assess the safety and cosmetic efficacy of a new multiple noncontinuous transepithelial puncture technique for tattooing a decompensated cornea.METHODSIt was a non-comparative clinical case series study. The stu...AIMTo assess the safety and cosmetic efficacy of a new multiple noncontinuous transepithelial puncture technique for tattooing a decompensated cornea.METHODSIt was a non-comparative clinical case series study. The study examines 33 eyes in 33 patients with total corneal opacity due to corneal decompensation, which developed following intraocular surgery. Corneal tattooing was performed using the multiple noncontinuous transepithelial puncture technique (i.e. pointage). The safety of this new surgical strategy was assessed by occurrence of adverse events for the follow-up period. The cosmetic efficacy was determined by the patient's cosmetic satisfaction and independent observer's opinion about patient appearance.RESULTSSeven women and 26 men were included in the study. The mean age was 46.4±17.5y (range: 7-67). In total, 30 of 33 patients (91%) reported cosmetic satisfaction within the follow-up period. Only 3 patients (9%) required additional tattooing due to cosmetic unsatisfaction. Cosmetic outcomes were analyzed and classified as excellent or good in 13 (39%) and 17 (52%) patients, respectively. No serious adverse events developed, except delayed epithelial healing in 3 cases.CONCLUSIONThe cosmetic outcomes of the multiple noncontinuous transepithelial puncture technique for corneal tattooing were good. The safety of this method is higher than conventional procedures. This new procedure also provides improved cost-effectiveness and safety over current corneal tattooing techniques.展开更多
目的：探讨角膜内皮移植术治疗角膜失代偿的临床效果。方法白内障术后继发角膜失代偿6例（6眼）行角膜内皮移植术。用角膜板层刀分离供体角膜，取直径为13～14 mm 深板层角膜内皮移植片植入受体眼前房。结果6例随访6个月以上。角膜均持...目的：探讨角膜内皮移植术治疗角膜失代偿的临床效果。方法白内障术后继发角膜失代偿6例（6眼）行角膜内皮移植术。用角膜板层刀分离供体角膜，取直径为13～14 mm 深板层角膜内皮移植片植入受体眼前房。结果6例随访6个月以上。角膜均持续透明，内皮移植片贴附良好，术后6个月6例视力均有不同程度提高，由术前的数指～0．05，提高到0．12～0．3。角膜内皮细胞密度均明显增加，由术前≤656个／mm2增加到1889～2456个／mm2。结论角膜内皮移植术是一种治疗角膜失代偿的有效方法。展开更多
基金Supported by the Basic Science Research Program through the National Research Foundation of Korea(NRF) and funded by the Ministry of Education,Science,and Technology(MEST)(NRF-2010-0025662)the Asan Institute for Life Sciences,Seoul,Korea(2014-464)
文摘AIMTo assess the safety and cosmetic efficacy of a new multiple noncontinuous transepithelial puncture technique for tattooing a decompensated cornea.METHODSIt was a non-comparative clinical case series study. The study examines 33 eyes in 33 patients with total corneal opacity due to corneal decompensation, which developed following intraocular surgery. Corneal tattooing was performed using the multiple noncontinuous transepithelial puncture technique (i.e. pointage). The safety of this new surgical strategy was assessed by occurrence of adverse events for the follow-up period. The cosmetic efficacy was determined by the patient's cosmetic satisfaction and independent observer's opinion about patient appearance.RESULTSSeven women and 26 men were included in the study. The mean age was 46.4±17.5y (range: 7-67). In total, 30 of 33 patients (91%) reported cosmetic satisfaction within the follow-up period. Only 3 patients (9%) required additional tattooing due to cosmetic unsatisfaction. Cosmetic outcomes were analyzed and classified as excellent or good in 13 (39%) and 17 (52%) patients, respectively. No serious adverse events developed, except delayed epithelial healing in 3 cases.CONCLUSIONThe cosmetic outcomes of the multiple noncontinuous transepithelial puncture technique for corneal tattooing were good. The safety of this method is higher than conventional procedures. This new procedure also provides improved cost-effectiveness and safety over current corneal tattooing techniques.
文摘目的：探讨角膜内皮移植术治疗角膜失代偿的临床效果。方法白内障术后继发角膜失代偿6例（6眼）行角膜内皮移植术。用角膜板层刀分离供体角膜，取直径为13～14 mm 深板层角膜内皮移植片植入受体眼前房。结果6例随访6个月以上。角膜均持续透明，内皮移植片贴附良好，术后6个月6例视力均有不同程度提高，由术前的数指～0．05，提高到0．12～0．3。角膜内皮细胞密度均明显增加，由术前≤656个／mm2增加到1889～2456个／mm2。结论角膜内皮移植术是一种治疗角膜失代偿的有效方法。
