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Einsatz von humanem Fibrinkleber bei perforiertem trophischem Hornhautulkus

Use of human fibrin glue for perforated trophic retinal ulcer

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Zusammenfassung

Nach erfolgloser konservativer Behandlung wurde eine Patientin mit perforiertem trophischem Hornhautulkus nach Kataraktchirurgie einer operativen Versorgung mit Fibrinkleber unterzogen. Innerhalb von 10 min zeigte eine Weißfärbung des Fibrinklebers eine stabile Situation an. Postoperativ versorgten wir das Auge vorübergehend mit einer Verbandkontaktlinse. Nach Entfernung der Linse zeigte sich 2 Wochen nach dem Eingriff ein stabiler Befund mit vollständiger Hornhautepithelialisierung.

Abstract

A patient with a sterile trophic corneal perforation of 2 mm after cataract surgery underwent perforation closure with human fibrin glue. Whitening of the fibrin glue indicated a stable perforation closure 10 min after application. Perforation closure was successfully performed using human fibrin glue with complete epithelialization 2 weeks after surgery. Corneal perforation closure of sterile corneal ulcerations using human fibrin glue is a simple technique that may be successful in acute cases which have an increased risk of corneal transplant rejection.

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Authors and Affiliations

  1. Augenklinik, RWTH Aachen, Pauwelsstr. 30, 52057, Aachen, Deutschland

    A.K. Röpke & N. Plange

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  1. A.K. Röpke
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  2. N. Plange
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Correspondence to A.K. Röpke.

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Röpke, A., Plange, N. Einsatz von humanem Fibrinkleber bei perforiertem trophischem Hornhautulkus. Ophthalmologe 111, 158–160 (2014). https://doi.org/10.1007/s00347-013-2873-3

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  • DOI: https://doi.org/10.1007/s00347-013-2873-3

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