| Titre : | THE ROLE OF PENETRATING KERATOPLASTY IN THE MANAGEMENT OF SEVERE KERATITIS : A CASE SERIES | | Type de document : | thèse | | Auteurs : | BOUTKHIL MARYAME, Auteur | | Année de publication : | 2024 | | Langues : | Anglais (eng) | | Mots-clés : | Penetrating keratoplasty corneal transplantation Infectious keratitis Kératoplastie pénétrante transplantation cornéenne kératite infectieuse résultats زرع القرنية التهاب القرنية نتائج زرع القرنية الشفافة | | Résumé : | Keratitis presents a significant challenge in both developed and developing countries. The causes include infectious and noninfectious etiologies including immune-induced corneal ulcers. Both etiologies can lead to severe complications such as corneal melting, necrosis and perforation. When conventional therapies fail, emergency measures like penetrating keratoplasty become necessary to preserve ocular integrity and eradicate the pathogen in infectious cases. Our study investigates the outcomes of emergency penetrating keratoplasty for advanced keratitis cases, focusing on anatomical restoration, therapeutic efficacy, and functional outcomes. We found that while anatomical and therapeutic goals were partially achieved, visual outcomes remained poor, with a high incidence of postoperative complications. Our findings underscore the challenges associated with delayed surgical intervention and emphasize the importance of early consideration of surgical options in refractory cases to improve patient outcomes.
| | Numéro (Thèse ou Mémoire) : | M1732024 | | Président : | Abdelbarre OUBAAZ | | Directeur : | Yassine MOUZARI | | Juge : | Abdellah AMAZOUZI | | Juge : | Ahmed REGGAD |
THE ROLE OF PENETRATING KERATOPLASTY IN THE MANAGEMENT OF SEVERE KERATITIS : A CASE SERIES [thèse] / BOUTKHIL MARYAME, Auteur . - 2024. Langues : Anglais ( eng) | Mots-clés : | Penetrating keratoplasty corneal transplantation Infectious keratitis Kératoplastie pénétrante transplantation cornéenne kératite infectieuse résultats زرع القرنية التهاب القرنية نتائج زرع القرنية الشفافة | | Résumé : | Keratitis presents a significant challenge in both developed and developing countries. The causes include infectious and noninfectious etiologies including immune-induced corneal ulcers. Both etiologies can lead to severe complications such as corneal melting, necrosis and perforation. When conventional therapies fail, emergency measures like penetrating keratoplasty become necessary to preserve ocular integrity and eradicate the pathogen in infectious cases. Our study investigates the outcomes of emergency penetrating keratoplasty for advanced keratitis cases, focusing on anatomical restoration, therapeutic efficacy, and functional outcomes. We found that while anatomical and therapeutic goals were partially achieved, visual outcomes remained poor, with a high incidence of postoperative complications. Our findings underscore the challenges associated with delayed surgical intervention and emphasize the importance of early consideration of surgical options in refractory cases to improve patient outcomes.
| | Numéro (Thèse ou Mémoire) : | M1732024 | | Président : | Abdelbarre OUBAAZ | | Directeur : | Yassine MOUZARI | | Juge : | Abdellah AMAZOUZI | | Juge : | Ahmed REGGAD |
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