{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T20:46:03Z","timestamp":1745268363930,"version":"3.37.3"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Tectonic eccentric sclerokeratoplasty \u00e0 chaud is a very complex corneal operation and aims to preserve the eyeball and possibly to improve visual acuity in patients with\n\t\t\t\t\tperipheral corneal ulcerations or perforating corneal trauma.<\/jats:p><jats:p>\n          Methods 1650 eyes received corneal transplants in our clinic between 2006 and 2019. 14 of these 1650 eyes (0.8%) had a perforated or predescemetal peripheral corneal ulceration and\n\t\t\t\t\tthese were treated between 2006 and 2019 with a tectonic eccentric sclerokeratoplasty \u00e0 chaud. The mean age of the 8 women and 6 men included in this case series was 63\u00a0years (22\u200a\u2013\u200a91\n\t\t\t\t\tyears).<\/jats:p><jats:p>\n          Results In the postoperative follow-up period, most complications and reoperations occurred in the first 6 months. Re-ulceration was observed in 2 cases as well as early suture\n\t\t\t\t\tloosening in 12 patients. These 2 cases were treated with a partial conjunctival flap. Additionally, prolonged superficial wound healing process was shown in 12 patients. Therefore 27\n\t\t\t\t\tamniotic membrane transplantations, 12 suture replacements, and 6 partial conjunctival flaps were performed in total. No re-keratoplasties were required in this case series. All eyes could\n\t\t\t\t\tbe stabilised through the sclerokeratoplasty as well as subsequent operations and intensive local or even systemic treatment. After removal of the corneal suture, the best-corrected visual\n\t\t\t\t\tacuity improved only insignificantly to hand movement in 1 case, finger counting in 3 cases, 0.1 in 5 cases, 0.2 in 4 cases and 0.5 in 1 case. Preservation of the eyeball with pain relief\n\t\t\t\t\twas achieved in all 14 eyes.<\/jats:p><jats:p>\n          Conclusions Eccentric sclerokeratoplasty is a very demanding surgical procedure and is extremely rarely performed. The goal is to preserve the eye.<\/jats:p>","DOI":"10.1055\/a-1328-2685","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:02:25Z","timestamp":1616025745000},"page":"1025-1032","source":"Crossref","is-referenced-by-count":2,"title":["Tectonic Eccentric Penetrating Sclerokeratoplasty \u00e0 chaud as Treatment for Peripheral Perforated or Predescemetal Corneal Ulceration"],"prefix":"10.1055","volume":"239","author":[{"given":"Markus","family":"Kohlhaas","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edita","family":"Zey","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Perdikakis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4420-4625","authenticated-orcid":false,"given":"Vastardis","family":"Iraklis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcrol","family":"G\u00f6kel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Fili","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"ref1","first-page":"398","article-title":"The Bowman 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