Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy11Accepted for publication Aug 28, 1998
| Autor: | F. Lander, Gerrit R. J. Melles, W. H. Beekhuis, L. Remeijer, Perry S. Binder |
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| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures business.industry medicine.medical_treatment Eye disease Corneal Transplant medicine.disease eye diseases Surgery Ophthalmology medicine.anatomical_structure Cornea medicine Bullous keratopathy sense organs medicine.symptom business Corneal transplantation Dioptre Pseudophakic bullous keratopathy |
| Zdroj: | American Journal of Ophthalmology. 127:340-341 |
| ISSN: | 0002-9394 |
| DOI: | 10.1016/s0002-9394(98)00324-9 |
| Popis: | PURPOSE: To describe a new surgical technique for posterior corneal transplantation. METHODS: An elderly patient had painful, pseudophakic bullous keratopathy with low visual potential. Through a 9.0-mm scleral tunnel incision, a midstromal pocket was dissected across the cornea, and a posterior lamellar disk 7.0-mm in diameter, which consisted of posterior stroma, Descemet membrane, and endothelium, was excised. A similarly shaped donor posterior disk was implanted in the recipient opening without suture fixation, and the scleral incision was sutured. RESULTS: Throughout the postoperative period, the posterior corneal transplant remained clear and in position. Three months after surgery, the “suture-in” astigmatic error was 3.5 diopters. Pachymetry measured 0.44 mm. CONCLUSION: Posterior lamellar keratoplasty may be a new surgical approach with which to manage corneal endothelial disorders. |
| Databáze: | OpenAIRE |
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