scholarly journals Positive pressure during penetrating keratoplasty can be solved with a modified graft-over-host technique

2013 ◽  
Vol 92 (3) ◽  
pp. 282-285 ◽  
Author(s):  
Iva Dekaris ◽  
Nikica Gabrić ◽  
Maja Pauk ◽  
Nataša Drača
Keyword(s):  
Penetrating Keratoplasty ◽  
Positive Pressure

scholarly journals Excimer versus Femtosecond Laser Assisted Penetrating Keratoplasty in Keratoconus and Fuchs Dystrophy: Intraoperative Pitfalls

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Moatasem El-Husseiny ◽  
Berthold Seitz ◽  
Achim Langenbucher ◽  
Elena Akhmedova ◽  
Nora Szentmary ◽  
...  
Keyword(s):  
Femtosecond Laser ◽  
Excimer Laser ◽  
Outcome Measures ◽  
Penetrating Keratoplasty ◽  
Positive Pressure ◽  
Group Iii ◽  
Fuchs Dystrophy

Purpose. To assess the intraoperative results comparing two non-mechanical laser assisted penetrating keratoplasty approaches in keratoconus and Fuchs dystrophy.Patients and Methods. 68 patients (age 18 to 87 years) with keratoconus or Fuchs dystrophy were randomly distributed to 4 groups. 35 eyes with keratoconus and 33 eyes with Fuchs dystrophy were treated with either excimer laser ([Exc] groups I and II) or femtosecond laser-assisted ([FLAK] groups III and IV) penetrating keratoplasty. Main intraoperative outcome measures included intraoperative decentration, need for additional interrupted sutures, alignment of orientation markers, and intraocular positive pressure (vis a tergo).Results. Intraoperative recipient decentration occurred in 4 eyes of groups III/IV but in none of groups I/II. Additional interrupted sutures were not necessary in groups I/II but in 5 eyes of groups III/IV. Orientation markers were all aligned in groups I/II but were partly misaligned in 8 eyes of groups III/IV. Intraocular positive pressure grade was recognized in 12 eyes of groups I/II and in 19 eyes of groups III/IV. In particular, in group III, severe vis a tergo occurred in 8 eyes.Conclusions. Intraoperative decentration, misalignment of the donor in the recipient bed, and need for additional interrupted sutures as well as high percentage of severe intraocular positive pressure were predominantly present in the femtosecond laser in keratoconus eyes.

Positive Pressure

2006 ◽  
Vol 31 (11) ◽  
pp. 48-62 ◽  
Author(s):  
James F. Goss ◽  
Jonathan Zygowiec
Keyword(s):  
Positive Pressure

Femtosecond laser assisted penetrating keratoplasty

2006 ◽  
Vol 223 (S 1) ◽  
Author(s):  
MP Holzer ◽  
TM Rabsilber ◽  
GU Auffarth
Keyword(s):  
Femtosecond Laser ◽  
Penetrating Keratoplasty

Perancangan Pengkondisian Udara pada Ruangan Steril Rumah Sakit Mitra Medika dengan Standard Cleanroom Menggunakan Instalasi Ducting

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Fremmy Raymond Agustinus
Keyword(s):  
Air Conditioning ◽  
Static Pressure ◽  
Filter Medium ◽  
Positive Pressure ◽  
Design Tools ◽  
Microsoft Excel ◽  
Cooling Unit ◽  
X 24 ◽  
Air Passage ◽  
Booster Fan

Desain penyejuk udara juga dapat diterapkan di bidang kesehatan, dengan standar Cleanroom dapat diperoleh suhu, kelembaban, kenyamanan dan kebersihan yang dibutuhkan untuk ruang steril (ruang bedah). Perancangan pendingin udara dalam hal ini dilakukan dengan menentukan beban pendinginan yang diperlukan untuk ruang steril (ruang bedah), kemudian menentukan ukuran ducting, jalur ducting, dan jumlah penggunaan ducting. Desain ini menggabungkan unit split saluran yang dimodifikasi, kipas booster, filter pra, filter medium, dan filter HEPA dengan menggunakan saluran aluminium preinsulated sebagai saluran udara. Desain dilakukan dengan menggunakan perangkat lunak AutoCAD 2012, Design Tools Duct Sizer, dan Microsoft Excel. Dari hasil perhitungan dan desain didapatkan kebutuhan kapasitas 3 ruang bedah yaitu ducted ducted 100.000 BTUH sebanyak 3 unit, booster fan 3.3 - 4 Di WG sebanyak 3 unit, pre filter 24 "x 24" x 2 "6 set, filter menengah 610 x 610 x 290 mm 6 set, dan filter HEPA 1220 x 610 x 70 mm 12. Untuk ruang steril, tekanan statis yang dihasilkan oleh unit pendingin harus lebih besar daripada tekanan statis yang dihasilkan dari unit yang ada. di ruang semi steril. Dengan kata lain, ruang steril harus memiliki tekanan positif terhadap ruang semi steril. Hal ini dimaksudkan agar udara di ruang semi steril tidak masuk ke ruang steril ketika pintu antar ruangan dibuka. Desain dan perhitungan ruang bedah, suhu nyata yang diperoleh adalah 23 ° C ± 2 ° C dan kelembaban relatif yang diperoleh adalah 60% ± 2%.   Air conditioning design can also be applied in the health field, with cleanroom standard can be obtained temperature, humidity, comfort and hygiene needed for sterile room (surgical room). The design of air conditioning in this case is done by determining the cooling load required for the sterile room (surgical room), then determining the ducting size, ducting path, and the amount of ducting usage. This design combines modified ducted split unit, booster fan, pre filter, medium filter, and HEPA filter by using preinsulated aluminum duct as an air passage. The design is done by using AutoCAD 2012 software, Design Tools Duct Sizer, and Microsoft Excel. From the calculation and design result obtained the capacity requirement of 3 surgical room that is split ducted 100.000 BTUH as many as 3 units, booster fan 3.3 - 4 In WG as many as 3 units, pre filter 24"x 24" x 2" 6 sets, medium filter 610 x 610 x 290 mm 6 sets, and HEPA filter 1220 x 610 x 70 mm 12 sets. For the sterile room, the static pressure generated by the cooling unit shall be larger than the static pressure generated from the unit present in the semi sterile room. In other words, the sterile room must have positive pressure to the semi sterile room. It is intended that the air in the semi sterile room does not enter into the sterile room when the door between room opened. In this surgical room design and calculation, real temperature obtained is 23 °C ± 2 °C and the relative moisture obtained is 60% ± 2%.

Flex technology in the correction of induced ametropia after penetrating keratoplasty

2019 ◽  
Vol 30 (5) ◽  
pp. 214-217
Author(s):  
O.V. Pisarevskaya ◽  
◽  
T.N. Iureva ◽  
A.G. Shchuko ◽  
E.P. Ivleva ◽  
...  
Keyword(s):  
Penetrating Keratoplasty
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