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  • 1995-1999  (2)
  • Engineering General  (1)
  • corneal graft failure  (1)
  • Trailing-edge Flow
  • 1
    ISSN: 1573-2630
    Keywords: bilateral penetrating keratoplasty ; corneal graft failure ; endothelial rejection ; review
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Purpose: To analyze the indications, functional results, and rates of graft rejection and failure after bilateral penetrating keratoplasty (PK) in a major eye care hospital and research center in India. Methods: Retrospective review of the case records of 38 patients who underwent bilateral PK and had at least 6 months follow-up after cornealtransplantation in the second eye. Results: The mean age of the 38 patients (20 M, 18 F) was 35 ± 25 years (range, 0.5 to 79 years). Mean follow-up was 49 ± 23 months (range, 13.4 to 116.4 months) after surgery in the first eye and 31 ± 22 months (range, 6.6 to 103.6 months) after surgery in the second eye. The average time interval between surgery in the first and second eye was 18 ± 10 months (range, 0 to 38 months). The commonest indications for surgery were corneal dystrophies (50%),aphakic bullous keratopathy (21%), and keratoconus (11%). Postoperatively, secondary glaucoma occurred in 2 first and 3 second eyes. Best-corrected visual acuity at last follow-up was 〉 6/12 in 34% of first eyes and 50% of second eyes, and was 〉 6/60 in 26% and 18% of first and second eyes respectively. Allograft rejection occurred in 4 of the first eyes and 3 of the second eyes. The two-year graft survival rate in first eyes was 70% and in second eyes was 83%. Worse outcomes were noted in grafts performed for secondary endothelial failure. Earlier graft failure occurred in first eyes (54 ± 5 months) compared to second eyes (79 ± 10 months) (Logrank Test p = 0.2311).Conclusions: Bilateral penetrating keratoplasty has reasonable success in selected patients. Corneal transplantation in the second eye does not seem to increase the risk of graft rejection in either eye.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Chichester : Wiley-Blackwell
    International Journal for Numerical Methods in Fluids 22 (1996), S. 121-135 
    ISSN: 0271-2091
    Keywords: spatial marching methods ; reduced Navier-Stokes equations ; explicit methods ; Runge-Kutta method ; hypersonic flow ; supersonic flow ; Engineering ; Engineering General
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Notes: This paper develops a spatial marching method for high-speed flows based on a finite volume approach. The method employs the reduced Navier- Stokes equations and a pressure splitting in the streamwise direction based on the Vigneron strategy. For marching from an upstream station to one downstream the modified five-level Runge-Kutta integration scheme due to Jameson and Schmidt is used. In addition, for shock handling and for good convergence properties the method employs a matrix form of the artificial dissipation terms, which has been shown to improve the accuracy of predictions. To achieve a fast rate of convergence, a local time-stepping concept is used. The method retains the time derivative in the governing equations and the solution at every spatial station is obtained in an iterative manner.The developed method is validated against two test cases: (a) supersonic flow past a flat plate; and (b) hypersonic flow past a compression corner involving a strong viscous-inviscid interaction. The computed wall pressure and wall heat transfer coefficients exhibit good general agreement with previous computations by other investigators and with experiments.
    Additional Material: 14 Ill.
    Type of Medium: Electronic Resource
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