Szemészet, 1975 (112. évfolyam, 1-3. szám)

1975 / 3. szám

must be very delicate; microsurgery offers the optimum protection against excessive mechanical trauma. Special care must be taken for the protection of the endothelium. d) The use of appropriate suture material must be mentioned as an important factor of ultimate success. Monofilament 10/0 Nylon suture is accepted as the best to be used rutinely. e) Steroid therapy constitute a mighty weapon in the prevention and treat­ment of the graft rejection syndrome. Timing, dosage and routes of administra­tion, are of the outmost importance in order to achieve a maximum of effecti­veness. It is important to bear in mind that very rarely a single factor is the cause of graft failure. There are usually two or more, acting by themselves or synerg­­istically, potentiating other factors of minor importance, which constitute the cause of poor results. On the light of this fact, every facet of the whole procedure of corneal transplantation, must be considered very carefully, in order to achieve the best in prevention and treatment of graft rejection syndrome. REFERENCES: 1. Barrie R. Jones: Present knowledge and problems of corneal graft failure. Corneal graft failure. Ciba Found. Symposium 15, p. 349. Assoc. Scient. Publishers. Amsterdam. — 2. Demailly P., Hamard H. et Luton J.: Oeil et cortisone. Rapport S. F. O. Masson et Cie Paris 1975. — 3. Fine M. and Stein M.: The role of corneal vascularization in human corneal graft reactions. Ciba Found. Symposium 15, p. 193. Assoc. Scient. Publishers Amsterdam. — 4. Oibbs D., Batchelor J., Werb A., Schlesinger W. and Casey T.: The influence of tissue-type compatibility on the fate of full-thickness corneal grafts. Trans. Osuk, 94, p. 101, 1974. — 5. Maumenee A.: The role of steroids in the prevention of corneal graft failure. Ciba Found Symposium 15, p. 241. Assoc. Scient. Publishers Amsterdam. — 6. Silverstein A. and Khodadoust A.: Transplantation immunbiology of the cornea. Ciba Found. Symposium 15, p. 105. Assoc. Publishers Amsterdam. — 7. Trevoi—Roper: The history of corneal grafting. Corneal grafting, by T. Casey p. I., Butterworth and Co Ltd, 1972. J. Charamis, J. Tsamparlakis: Néhány gondolat a keratoplasztikában alkalmazott implantatumok kilökődésének megelőzéséről és gyógyításáról. Й. Цхарамиш; Й. Тщамплакиш: Мысли о предупреждении и лечнии отторжения имплантатов примененных в кератопластике. J. Charamis, J. Tsamparlakis: Cédánkén über die Verbeugung und Behandlung des Graft-Ausstosses im Keratoplastik. 12 Szemészet 177

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