Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli
Yıl: 2019 Cilt: 49 Sayı: 6 Sayfa Aralığı: 356 - 360 Metin Dili: Türkçe DOI: 10.4274/tjo.galenos.2019.13333 İndeks Tarihi: 13-11-2020
Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli
Öz: Bu olgu sunumunun amacı, pediatrik akut toksik epidermal nekrolizli (TEN) bir olguda semblefaron halkasının etrafına sarılı amniyotikmembranın dikişsiz yerleştirilmesi için yeni bir cerrahi yöntem tanımlamaktır. Bir yaşındaki kız hastada, toksik TEN’ye bağlı şiddetlioküler yüzey enflamasyonu ve büyük korneal ve konjonktival epitel defektleri gelişti. Hastaya yoğun bakım ünitesinde yatak başında,sedoaneljezi altında semblefaron halkası etrafına sarılı geniş (4 cm x 4 cm) amniyotik membran yerleştirildi. Oküler yüzey, tedavisonrası sağ gözde 6. haftada ve sol gözde 8. haftada tamamen epitelize olmuştu. Amniyon membran naklinden iki yıl sonra her iki gözdesemblefaron, skar oluşumu veya limbal kök hücre yetmezliği olmaksızın sakindi. Yatak başında gerçekleştirilmiş semblefaron halkasıetrafına sarılmış amniyon membran nakli, akut dönemde her iki gözde de oküler yüzeyi yeterli bir şekilde kaplayarak inflamasyonu azalttıve oküler yüzeyi koruyarak mükemmel klinik sonuçlara yol açtı.
Anahtar Kelime: Sutureless Amniotic Membrane Transplantation in a Pediatric Patient with Acute Toxic Epidermal Necrolysis
Öz: The purpose of this case report is to describe a new surgical method for sutureless placement of the amniotic membrane with a symblepharon ring in a pediatric patient with acute toxic epidermal necrolysis (TEN). A 1-year-old girl developed severe ocular surface inflammation with large corneal and conjunctival epithelial defects secondary to TEN. She was treated by applying a large (4 cm x 4 cm) amniotic membrane graft and non-sterile symblepharon ring under sedoanalgesia at bedside in the intensive care unit. The ocular surface was completely epithelized by post-treatment week 6 in the right and week 8 in the left eye. Two years after amniotic membrane transplantation, both eyes were quiet with no symblepharon, scar formation, or limbal stem cell deficiency. Performing bilateral amniotic membrane transplantation under a symblepharon ring at bedside provided sufficient acute coverage of the ocular surface and led to excellent clinical outcomes by reducing inflammation and protecting the ocular surface.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | bas z, Ucakhan O (2019). Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. , 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| Chicago | bas zeynep,Ucakhan Omur Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. (2019): 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| MLA | bas zeynep,Ucakhan Omur Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. , 2019, ss.356 - 360. 10.4274/tjo.galenos.2019.13333 |
| AMA | bas z,Ucakhan O Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. . 2019; 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| Vancouver | bas z,Ucakhan O Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. . 2019; 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| IEEE | bas z,Ucakhan O "Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli." , ss.356 - 360, 2019. 10.4274/tjo.galenos.2019.13333 |
| ISNAD | bas, zeynep - Ucakhan, Omur. "Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli". (2019), 356-360. https://doi.org/10.4274/tjo.galenos.2019.13333 |
| APA | bas z, Ucakhan O (2019). Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. Türk Oftalmoloji Dergisi, 49(6), 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| Chicago | bas zeynep,Ucakhan Omur Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. Türk Oftalmoloji Dergisi 49, no.6 (2019): 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| MLA | bas zeynep,Ucakhan Omur Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. Türk Oftalmoloji Dergisi, vol.49, no.6, 2019, ss.356 - 360. 10.4274/tjo.galenos.2019.13333 |
| AMA | bas z,Ucakhan O Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. Türk Oftalmoloji Dergisi. 2019; 49(6): 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| Vancouver | bas z,Ucakhan O Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli. Türk Oftalmoloji Dergisi. 2019; 49(6): 356 - 360. 10.4274/tjo.galenos.2019.13333 |
| IEEE | bas z,Ucakhan O "Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli." Türk Oftalmoloji Dergisi, 49, ss.356 - 360, 2019. 10.4274/tjo.galenos.2019.13333 |
| ISNAD | bas, zeynep - Ucakhan, Omur. "Akut Toksik Epidermal Nekrolizli Pediatrik Bir Olguda Amniyon Membran Nakli". Türk Oftalmoloji Dergisi 49/6 (2019), 356-360. https://doi.org/10.4274/tjo.galenos.2019.13333 |
