Simultaneous tectonic Descemet stripping endothelial keratoplasty and tectonic Bowman layer transplant for the management of corneal perforation.

Autor:	Tourkmani AK; Royal Gwent Hospital, Newport, Wales NP20 2UB, UK.; Ophthalmology Department, Universidad Miguel Hernández, Alicante 03202, Spain.; Ulster University, Northern Ireland, Belfast BT15 1ED, UK., McAlinden C; Royal Gwent Hospital, Newport, Wales NP20 2UB, UK., Anderson DF; Southampton General Hospital, Southampton SO16 6YD, England, UK., Alio Del Barrio JL; Ophthalmology Department, Universidad Miguel Hernández, Alicante 03202, Spain.; Cornea, Cataract & Refractive Surgery Unit, Vissum (Miranza Group), Alicante 03106, Spain., Alió JL; Ophthalmology Department, Universidad Miguel Hernández, Alicante 03202, Spain.; Cornea, Cataract & Refractive Surgery Unit, Vissum (Miranza Group), Alicante 03106, Spain.
Jazyk:	angličtina
Zdroj:	International journal of ophthalmology [Int J Ophthalmol] 2023 Sep 18; Vol. 16 (9), pp. 1549-1554. Date of Electronic Publication: 2023 Sep 18 (Print Publication: 2023).
DOI:	10.18240/ijo.2023.09.24
Abstrakt:	Aim: To report the outcomes of three cases of corneal perforation managed with simultaneous tectonic Descemet stripping endothelial keratoplasty (t-DSEK) and tectonic Bowman layer transplant (t-BLT) as an alternative to tectonic penetrating keratoplasty (t-PKP). Methods: Three eyes of three patients receiving simultaneous t-DSEK and t-BLT for corneal perforation were included. The technique for DSEK was modified depending on individual requirements. The t-BLT technique was standardised using an 8 mm graft and fixated with a running suture. Success was measured by the ability of this procedure to close a corneal perforation. Results: All three cases achieved tectonic eye globe restoration and remained stable during the minimum 3-month observation period. Reinterventions were relatively common: 2 cases required amniotic membrane transplant for persistent epithelial defects. One case required DSEK rebubbling. One case developed angle closure glaucoma requiring surgical peripheral iridectomy. Conclusion: Simultaneous t-DSEK and t-BLT may be a useful strategy for the management of corneal perforation as an alternative management to t-PKP for selected cases. (International Journal of Ophthalmology Press.)
Databáze:	MEDLINE
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