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Cauterización de la membrana de Bowman y el injerto de membrana amniótica en la queratopatía bullosa dolorosa poscirugía de catarata Cauterization of Bowman′s membrana and amniotic membrane graft in painful bullous keratopathy after cataract surgery  [cached]
Elizabeth Ortiz Sanfeliz,Zaadia Pérez Parra,Urbano Rodríguez de Paz,Alexeide de la C. Castillo Pérez
Revista Cubana de Oftalmolog?-a , 2008,
Abstract: INTRODUCCIóN: La queratectomía con cauterización de la membrana de Bowman y el injerto de membrana amniótica son algunos de los tratamientos paliativos en pacientes con queratopatía bullosa dolorosa sin criterio de trasplante corneal. Describir los resultados de cada una de estas técnicas fue nuestro objetivo fundamental en este estudio. MéTODOS: Se realizó un estudio descriptivo con 34 pacientes con queratopatía bullosa dolorosa poscirugía de catarata. Se distribuyeron en dos grupos: queratectomía con cauterización de la membrana de Bowman y queratectomía con injerto de membrana amniótica con seguimiento por seis meses. RESULTADOS: A los seis meses se mantenían sin bulas 64,7 y 41,2 % de los casos con cauterización de la membrana de Bowman e injerto de membrana amniótica respectivamente. El incremento de la vascularización corneal fue mínimo para ambas técnicas quirúrgicas. Se logró el alivio de los síntomas en la primera semana de la cirugía para 82,4 % en la cauterización de la membrana de Bowman y 94,1 % en el injerto de membrana amniótica. A los seis meses de la cirugía se mantenían asintomáticos 88,2 y 70,6 % de los casos con cauterización de la membrana de Bowman e injerto de membrana amniótica, respectivamente. La epitelización corneal se produjo antes de los 14 días en el 100 % de los pacientes tratados con injerto de membrana amniótica y en el 94,1 % de los pacientes con cauterización de la membrana de Bowman. CONCLUSIONES: Ambas técnicas quirúrgicas fueron eficaces en el tratamiento a corto plazo de la queratopatía bullosa dolorosa poscirugía de catarata. INTRODUCTION: Keratectomy with cauterization of Bowman′s membrane and the amniotic membrane graft are some of the palliative therapies to be applied in patients with painful bullous keratopathy without any criterion of corneal transplant. To describe the results of each technique was our fundamental objective in this study. METHODS: A descriptive study of 34 patients with painful bullous keratopathy after cataract surgery was carried out. They were divided into two groups: one undergoing keratectomy with cauterization of Bowman′s membrane and the other amniotic membrane graft followed-up for six months. RESULTS: After six months, 64.7 % of cases with cauterization of Bowman′s membrane and 41.2 % of those with amniotic membrane graft had no blebs. Increase of corneal vascularization as minimal for both techniques. The symptom relief in the first week of surgery was observed in 82.4 % and 94.1 % of cases respectively. After six months, the patients kept asymptomatic in 88.2 % of cases with cau
Electrocauterización de la membrana de Bowman para el tratamiento de la queratopatía bullosa dolorosa
Escalona Leyva,Elizabeth; Casas Arias,Xiomara;
Revista Cubana de Oftalmolog?-a , 2002,
Abstract: the purpose of this paper is to evaluate the electrocauterization of bowman's membrane as a surgical alternative in the treatment of painful bullous keratopathy. 30 eyes from 30 patients who were diagnosed painful bullous keratopathy and had not improved with the habitual treatments were studied. age, sex, ethiology, time of evolution, epithelialization, complications and the symptomatic relief were taken as fundamental variables. data were manually tabulated, taking into account the number of patients. the psotsurgical bullous keratopathy (aphakic y pseudophakic) prevailed in 83.3 % of the patients. the most affected were those over 60 (63.3 %). no significant differences were found in relation to sex. the time of epithelialization was from 7 to 14 days in 93.3 % of the patients and complications were not severe and were only observed in 14 %. the relief of the symptoms was observed in 66.6 % during the first week of the postoperative. the electrocauterization of bowman's membrane is an efficient and simple method with satisfactory results in the treatment of painful bullous keratopathy
Cauterización de la membrana de Bowman y el injerto de membrana amniótica en la queratopatía bullosa dolorosa poscirugía de catarata
Ortiz Sanfeliz,Elizabeth; Pérez Parra,Zaadia; Rodríguez de Paz,Urbano; Castillo Pérez,Alexeide de la C.;
Revista Cubana de Oftalmolog?-a , 2008,
Abstract: introduction: keratectomy with cauterization of bowman′s membrane and the amniotic membrane graft are some of the palliative therapies to be applied in patients with painful bullous keratopathy without any criterion of corneal transplant. to describe the results of each technique was our fundamental objective in this study. methods: a descriptive study of 34 patients with painful bullous keratopathy after cataract surgery was carried out. they were divided into two groups: one undergoing keratectomy with cauterization of bowman′s membrane and the other amniotic membrane graft followed-up for six months. results: after six months, 64.7 % of cases with cauterization of bowman′s membrane and 41.2 % of those with amniotic membrane graft had no blebs. increase of corneal vascularization as minimal for both techniques. the symptom relief in the first week of surgery was observed in 82.4 % and 94.1 % of cases respectively. after six months, the patients kept asymptomatic in 88.2 % of cases with cauterized bowman′s membrane and 70.6 % of amniotic membrane grafts. corneal epithelization occurred before 14 days of surgery in 100 % of patients treated with graft and in 94.1 % of cauterized cases. conclusions: both surgical techniques are effective in short-term treatment of painful bullous keratopathy after a cataract surgery.
Injerto de membrana amniótica monocapa como tratamiento paliativo de la queratopatía bullosa Monolayered amniotic membrane transplantation as a palliative treatment for bullous keratopathy
N López Ferrando,J Celis Sánchez,F González del Valle,E López Mondéjar
Archivos de la Sociedad Espa?ola de Oftalmología , 2004,
Abstract: Objetivo: Comprobar la eficacia del injerto de membrana amniótica en monocapa en la mejoría sintomática a corto y medio plazo de la queratopatía bullosa no susceptible de queratoplastia. Sujetos y métodos: Se realizó injerto de membrana amniótica en cinco pacientes con queratopatía bullosa no susceptibles de queratoplastia. Se valoró la necesidad de lente terapéutica pre y post operatoria, la existencia de dolor, la presencia de bullas (y número de cuadrantes a los que afectaba), de defectos epiteliales, y de restos de membrana amniótica a los 4 y 14 días, y a los 1, 2, 4, y 6 meses de la cirugía. Resultados: A los 14 días ningún paciente presentaba dolor, defecto epitelial o bullas. Sin embargo, la desaparición progresiva de la membrana iba acompa ada de aumento de la sintomatología y de las bullas. A los 6 meses, 4 de 5 pacientes necesitaban la utilización de lente terapéutica. Conclusiones: El injerto de membrana amniótica reduce la sintomatología de la queratopatía bullosa a corto plazo y preserva la anatomía corneal. A los 6 meses de la cirugía, la mejoría anatómica y sintomática no evita la necesidad de la utilización de lente de contacto terapéutica. Purpose: To determine the efficacy of monolayered amniotic membrane transplantation for short and medium-term symptomatic improvement in those cases of bullous keratopathy where a penetrating keratoplasty is not indicated. Methods: Amniotic membrane transplantation was performed in five patients with symptomatic bullous keratopathy in which penetrating keratoplasty was not indicated. Data about bandage contact lens need before and after surgery, existence of ocular pain, occurrence and extension of bullae, epithelial defects, and persistence of amniotic membrane, were obtained at days 4 and 14, and months 1, 2, 4 and 6 after surgery. Results: No pain, bullae or epithelial defects were present at day 14 in any patient. However, progressive dissolvement of the amniotic membrane was accompanied with more bullae and pain. At 6th month, 4 of 5 patients required bandage contact lens. Conclusion: Amniotic membrane transplantation alleviates short-term symptomatic bullous keratopathy and preserves corneal anatomy. Six months after surgery, anatomical and symptomatic improvement does not avoid the need of bandage contact lens.
Epidermolysis bullosa
Patra A,Deora M,Ramadasan P
Indian Journal of Dermatology, Venereology and Leprology , 2002,
Abstract: A case of recurrent vesiculobullous eruptions over shins, clinically diagnosed as epidermolysis bullosa of pretibial variety confirmed by electron microscope is reported here as a rare variety of localised epidermolysis bullosa (EB).
Varicella bullosa
Sathyanarayana B
Indian Journal of Dermatology, Venereology and Leprology , 2003,
Abstract: A 3-year-old child diagnosed as varicella bullosa is being presented
Varicella bullosa  [cached]
Sathyanarayana B
Indian Journal of Dermatology, Venereology and Leprology , 2003,
Abstract: A 3-year-old child diagnosed as varicella bullosa is being presented
Epidermolysis bullosa pruriginosa  [cached]
Yesudia P,Krishnan SGS,Jayaraman M,Janaki V
Indian Journal of Dermatology, Venereology and Leprology , 2000,
Abstract: Epidermolysis bullosa pruriginosa is a recently described variant of epidermolysis bullosa dystrophica. It is characterised by pruritic nodular prurigo like lesions, milia and with a histopathology of a subepidermal blister. We report 3 cases of this new variant.
Epidermolysis Bullosa Acquisita  [cached]
Gangopadhyay Asok Kumar
Indian Journal of Dermatology , 1997,
Abstract: A 35 years old man presented with features of epidermolysis bullosa acquisita. Here is the case report.
Pretibial epidermolysis bullosa with intraepidermal split  [cached]
Singh Sanjay,Jha A,Kumar Mohan,Pandey S
Indian Journal of Dermatology, Venereology and Leprology , 1991,
Abstract: Histology of a 26 year old woman with pretibial epidermolysis bullosa (PEB) revealed intraepidermal split. Her son had dystroplaic epidermolysis bullosa.
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