Tectonic Deep Anterior Lamellar Keratoplasty in Impending Corneal Perforation Using Cryopreserved Cornea.
10.3341/kjo.2011.25.2.132
- Author:
Ji Hye JANG
1
;
Sung Dong CHANG
Author Information
1. Department of Ophthalmology, Changwon Fatima Hospital, Changwon, Korea.
- Publication Type:Case Report
- Keywords:
Donor corneal cryopreservation;
Impending corneal perforation;
Tectonic deep anterior lamellar keratoplasty
- MeSH:
Aged, 80 and over;
Cornea/injuries/*surgery;
Corneal Perforation/pathology/physiopathology/*surgery;
Corneal Transplantation/*methods;
*Cryopreservation;
Eye Injuries, Penetrating/pathology/physiopathology/*surgery;
Female;
Follow-Up Studies;
Humans;
*Tissue Donors;
Visual Acuity
- From:Korean Journal of Ophthalmology
2011;25(2):132-135
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of tectonic corneal transplantation for impending corneal perforation to preserve anatomic integrity using cryopreserved donor tissue. An 82-year-old woman exhibiting impending corneal perforation suffered from moderate ocular pain in the left eye for one week. After abnormal tissues around the impending perforation area were carefully peeled away using a Crescent blade and Vannas scissors, the patient received tectonic deep anterior lamellar keratoplasty using a cryopreserved cornea stored in Optisol GS(R) solution at -70degrees C for four weeks. At six months after surgery, the cornea remained transparent and restored the normal corneal thickness. There were no complications such as corneal haze or scars, graft rejection, recurrent corneal ulcer, and postoperative rise of intraocular pressure. Cryopreserved donor lamellar tissue is an effective substitute in emergency tectonic lamellar keratoplasty, such as impending corneal perforation and severe necrotic corneal keratitis.
