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GERMAN ELIZALDE FUENTES, Oscar Fernandez, Regina Velasco, Oscar Baca, Elisa Dessire Alegria, Alejandro Babayan; Cost-benefit analysis of early evisceration versus tectonic graft in complicated infectious keratitis. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):1548.
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To determine the cost-benefit of tectonic grafting and early evisceration, as well as report the characteristics of patients with complicated infectious keratitis.
Design: Retrospective, descriptive and observational.<br /> The medical records of patients with diagnosis of graft tectonic or secondary evisceration to infectious keratitis complicated were retrospectively reviewed during January 2010 to October 2014 in the Foundation Hospital de la Luz. We excluded patients with autoimmune keratitis. The causal agents, indication surgical, number of surgical procedures and socio-economic status study were reviewed. The preoperative and postoperative visual acuity in patients with tectonic graft surgical were analyzed with statistical analyses using Excel 2010, and significance defined as p<0.05 with STUDENT test.
Analyzed 38 eyes of 38 patients with infectious keratitis tectonic graft and 6 patients with early evisceration. The main etiology of keratitis was bacterial (14 eyes) and fungal (11 eyes). It was not statistically significant preoperative versus postoperative visual acuity with p=0.1436 in patients with tectonic graft. The postoperative complication most frequent with tectonic graft was glaucoma (13 eyes). The complication in tectonics grafts were mainly opacity of the graft (20 eyes) and vascularization (16 eyes). The average costs of tectonic graft $1,115.00 dlls. History of 3 patients undergoing tectonic graft prior to evisceration the average cost was $1,541.00 dlls. Average cost of early evisceration $757.00 dlls. The minimum wage in Mexico is 4.5dlls, the socio-economic status in 16 patients were medium and medium-low level with average minimum profits per month 1314 dlls.
The recovery of patients undergoing tectonic graft is slow and expensive this is for the different complications and re surgical interventions that occur in a high degree.
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