Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 4495
  • Home
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2000  |  Volume : 48  |  Issue : 3  |  Page : 227-30

Management of anterior segment penetrating injuries with traumatic cataract by pentagon approach in paediatric age group: Constraints and outcome


Armed Forces Medical College, Pune, India

Correspondence Address:
J K Parihar
Armed Forces Medical College, Pune
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 11217256

Rights and PermissionsRights and Permissions

Purpose: To evaluate the efficacy of multiple combined procedure (Pentagon approach) as single-step secondary repair in cases of extensive keratolenticular trauma in paediatric age group. Methods: Retrospective evaluation of 18 patients of penetrating injuries with sclero-keratolenticular trauma, who underwent multiple procedure as single-step secondary repair by a single team of two surgeons during a 4 year period. Surgical procedure included reconstruction of anterior segment, synechiolysis, excision of membrane, lensectomy, open sky vitrectomy, PC IOL implantation over frill and penetrating keratoplasty. Meticulous antiamblyopia measures were applied in all cases. Results: Extensive vasoproliferative membrane, complicated cataract and anterior vitreous condensation were significant intra-operative hurdles. Moderate uveitis, secondary glaucoma, persistent epithelial defects were problems noted. Eleven (61.22%) patients attained good visual outcome. Regrafting was required in remaining cases due to delayed graft failure. Conclusion: Despite being a highly complex technique, Pentagon approach provides effective management profile in terms of graft success and functional outcome, especially in keratolenticular trauma, in children.


[FULL TEXT] [PDF Not available]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4841    
    Printed152    
    Emailed10    
    PDF Downloaded0    
    Comments [Add]    
    Cited by others 1    

Recommend this journal