Transplante de córnea no tratamento de ceratite micótica pós ceratotomia radial: relato de 3 casos

Penetrating keratoplasty in the treatment of fungal keratitis after radial keratotomy: report of 3 cases

Luciene Barbosa de Sousa Mônica Fialho Cronemberger Mauro Campos Walton Nosé Sobre os autores

RESUMO

Os autores relatam 3 casos de transplante de córnea em olhos com ceratite micótica pós ceratotomia radial, com evolução satisfatória em um seguimento médio de 28 meses. Os agentes isolados foram Fusarium solani, Acremonium spp e Aspergillus spp. São lembrados alguns aspectos da cicatrização corneana bem como a importância do esclarecimento dos pacientes candidatos à ceratotomia radial quanto à possibilidade da ocorrência de complicações sérias no pós-operatório.

Palavras-chave:
Ceratotomia radial; Infecção micótica; Transplante a quente

SUMMARY

Although radial keratotomy is a simple surgical procedure, a number of serious complications has been reported after it. In this paper, we describe three patients who had undergone radial keratotomy and developed postoperative micotic keratitis. The fungal agents isolated were Acremonium sp, Aspergillus sp and Fusarium solani. Besides the medical therapy, all cases required penetrant keratoplasty for resolution of the disease with good results (average follow up of 28 months). We discuss some aspects of the corneal healing process and the importance of advising patients about complications of radial keratotomy such as infectious keratitis.

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Datas de Publicação

  • Publicação nesta coleção
    Feb 1995
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