Therapeutic deep lamellar keratoplasty for corneal perforations

Bhatt, P. R. and Lim, Lik Thai and Ramaesh, K. (2007) Therapeutic deep lamellar keratoplasty for corneal perforations. Eye, 21. pp. 1168-1171. ISSN 0950-222X

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Objectives/aims Corneal perforation can be potentially blinding unless the integrity of the globe is restored quickly. Although penetrating keratoplasty (PK) may achieve this, it carries a high risk of endothelial rejection in inflamed eyes. Deep lamellar keratoplasty (DLK) may be an alternative option to PK in such eyes owing to its potential for a lower incidence of rejection. We report the efficacy of DLK in patients with corneal perforations. Patients and methods Four patients underwent layer-by-layer DLK for noninfective corneal perforation, after measures such as the use of a bandage contact lens, tissue adhesive, and conjunctival pedicle flap had failed. The preoperative visual acuity was hand movements in one patient, 1/60 in two, and 6/60 in one. All four had iris incarcerated within the corneal perforations. SF6 gas (three patients) and air (one patient) were injected into the anterior chamber at the end of surgery.

Item Type: Article
Uncontrolled Keywords: corneal perforation; deep lamellar keratoplasty; penetrating keratoplasty, unimas, university, universiti, Borneo, Malaysia, Sarawak, Kuching, Samarahan, ipta, education, research, Universiti Malaysia Sarawak.
Subjects: R Medicine > R Medicine (General)
R Medicine > RE Ophthalmology
Divisions: Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences
Depositing User: Gani
Date Deposited: 17 Oct 2018 07:27
Last Modified: 17 Oct 2018 07:27

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