%0 Journal Article
%T Queratoplastia de alto riesgo: A prop車sito de un caso High risk keratoplasty: A case presentation
%A Aldo A Sigler Villanueva
%J Revista Cubana de Oftalmologˋ-a
%D 2006
%I Editorial Ciencias M谷dicas
%X Se informa de un paciente con catarata patol車gica y gran descemetocele en su ojo izquierdo producto de secuela de 迆lcera grave de la c車rnea, que sufre perforaci車n corneal y al cual se le realiza un doble proceder quir迆rgico, queratoplastia perforante y extracci車n extracapsular del cristalino, como medida ※heroica§ para salvar la integridad del globo ocular y conservar su agudeza visual. El tratamiento espec赤fico posoperatorio fue con corticoides e hipotensores oculares t車picos y sist谷micos adem芍s de antibi車ticos locales. A pesar de ser una queratoplastia con muy alto riesgo, la c車rnea donante se mantiene transparente sin signos de rechazo y una visi車n de cuenta dedos a 3 m , despu谷s de un mes de operado This paper presents a patient suffering from pathological cataract and big descemetocele in his left eye due to a sequelae of serious ulcer of the cornea and corneal perforation. He underwent a double surgical procedure, that is, perforating keroplasty and extracapsular removal of the crystalline lens as a way of saving the integrity of the eyeball and preserving his visual acuity. The specific postoperative treatment was corticosteroids, topical and systemic occular hypotensive drugs plus local antibiotics. In spite of the high risk keratoplasty, donor cornea keeps its transparency without rejection signs and his vision allows him to count fingers at a 3m distance one month after surgery
%K Queratoplastia de alto riesgo
%K descemetocele
%K extracci車n extracapsular del cristalino
%K High risk keratoplasty
%K descemetocele
%K extracapsular removal of the crystalline lens
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762006000200010