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Interior 2_2006.qxd - Oftalmologia.ro

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OFTALMOLOGIA 2 - 2006<br />

TRATAMENTUL PALIATIV ~N<br />

KERATOPATIA EDEMATOAS|<br />

M. ZEMBA - SPITALUL CLINIC DE URGENTA MILITAR CENTRAL<br />

REZUMAT<br />

Articolul trece in revista posibilitatile de tratament paliativ al keratopatiei edematoase,<br />

medicale (agenti hipotensori, hipe<strong>ro</strong>smotici) si chirurgicale ( flap conjunctival, keratotomie<br />

inelara , punctie st<strong>ro</strong>mala anterioara, fotokeratectomie terapeutica cu laser<br />

excimer, acoperire cu membrana amniotica) , fiecare cu indicatiile, rezultatele, avantajele<br />

si dezavantajele sale.<br />

CUVINTE CHEIE:<br />

• keratopatie edematoasa,<br />

• flap conjunctival,<br />

• keratotomie inelara,<br />

• punctie st<strong>ro</strong>mala anterioara,<br />

• fotokeratectomie terapeutica cu laser excimer,<br />

• acoperire cu membrana amniotica.<br />

ABSTRACT<br />

The article is a review of the possibilities of palliative treatment for bullous keratopathy,<br />

medical methods (hipotensor and hipe<strong>ro</strong>smotic agents) and surgical methods<br />

(conjunctival flap, annular keratotomy, anterior st<strong>ro</strong>mal puncture, therapeutic fotokeratectomy<br />

and amniotic membrane use), each of them with indications, results, advantages<br />

and disadvantages.<br />

Key words:<br />

• bullous keratopathy,<br />

• conjunctival flap,<br />

• annular keratotomy,<br />

• anterior st<strong>ro</strong>mal puncture,<br />

• therapeutic fotokeratectomy and amniotic membrane use.<br />

Keratopatia edematoasa este un termen care defineste un edem corneean persistent,<br />

aparut in general dupa manevre de chirurgie intraoculara , de cele mai multe ori legate<br />

de extractia cataractei. Se mai utilizeaza termenul de keratopatie buloasa.<br />

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