האם המאמר הזה רלוונטי למצב

שלום דוקטור תודה רבה מקרב לב על התשובות האם המאמר הזה רלוונטי למצב ויכול לתת סיכוי אפילו קטן מאוד A novel use of reticulated hyaluronic acid (Healaflow) for hypotony eyes in patients with uveitis R E Stead 1, Z Juma 1, S Turner 1, L D Jones 2, V C T Sung 1 Affiliations expand PMID: 27016504 DOI: 10.1136/bjophthalmol-2015-307799 Abstract Persistent ocular hypotony is a complex and ongoing challenge faced in ophthalmology. It can result in early ocular phthisis and associated visual decline, pain and deformity. We present the first case series, in which repeated intracameral injections of highly reticulated hyaluronic acid (Healaflow) have successfully prevented the complications of ocular hypotony in the long term. We believe it is a viable management option that can bring about a significant improvement to the quality of life in this subgroup of patients while avoiding frequent intervention. או אולי המאמר הזה Boston type 1 keratoprosthesis combined with silicone oil for treatment of hypotony in prephthisical eyes Clara C Chan 1, Edward J Holland, William I Sawyer, Kristiana D Neff, Michael R Petersen, Christopher D Riemann Affiliations expand PMID: 21642848 DOI: 10.1097/ICO.0b013e318207f3bb Abstract Purpose: To present the outcomes of Boston type I keratoprosthesis (KPro) implantation in combination with pars plana vitrectomy (PPV) and silicone oil for the treatment of hypotony in prephthisical eyes. Methods: Interventional case series. Thirteen eyes of 13 patients underwent Boston type I KPro implantation, pars plana vitrectomy, and silicone oil placement. Concurrent retinal detachment repair, membrane peel, or intraocular lens explantation were performed if necessary. Inclusion criteria for surgery were eyes with visual acuity worse than 20/400, previous failed penetrating keratoplasty, corneal opacification, visually significant or worsening hypotony, and visual acuity 20/200 or worse in the fellow eye. Outcome measures included Snellen best-corrected visual acuity, anatomic retinal attachment, and complications. Results: At the final follow-up (mean, 24 months; range, 5-66 months), visual acuity was improved in 10 of 13 eyes (77%), stable in 2 of 13 eyes (15%), and decreased in 1 of 13 eyes (8%). All eyes had attached retina with no progression to phthisis bulbi. No intraoperative complications occurred. Postoperative complications included retroprosthetic membrane (7 of 13), KPro melt (1 of 13), KPro leak (1 of 13), KPro infection (1 of 13), vitreous hemorrhage (1 of 13), and retinal detachment (1 of 13). Conclusions: Boston type I KPro implantation in combination with pars plana vitrectomy and intraocular silicone oil fill can improve vision in most prephthisical eyes with hypotony. Structural findings can also improve. שוב תודה רבה מקרב לב