Reconstruction of the anterior and posterior segment of the eye after massive injury.
We treated 15 patients whose common characteristic was a severe windscreen injury (7 eyes) or an (mine) explosion trauma (8 eyes), nearly always affecting both eyes. In several operations we tried to reconstruct the anterior and posterior segments using a temporary keratoprosthesis for repair of the posterior-segment damage. In cases where the retina could be attached, the initial result was a functional stabilization and improvement. In 4 eyes we implanted an artificial iris diaphragm to prevent silicone-corneal contact. The long-term results will depend on the functionality of the ciliary body.
Wiedemann
P
P
Universitäts-Augenklinik, Köln, Germany.
Konen
W
W
Heimann
K
K
D000063:Accidents, Traffic; D000328:Adult; D000869:Anterior Eye Segment / Q000293:injuries / Q000601:surgery*; D002648:Child; D005107:Explosions; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D015948:Keratoplasty, Penetrating; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D019736:Prostheses and Implants; D012160:Retina / Q000293:injuries / Q000601:surgery*; D012163:Retinal Detachment / Q000601:surgery; D014792:Visual Acuity; D014821:Vitrectomy