Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy

被引:158
作者
Melles, GRJ
Lander, F
Beekhuis, WH
Remeijer, L
Binder, PS
机构
[1] Rotterdam Eye Hosp, Cornea Serv, NL-3000 LM Rotterdam, Netherlands
[2] Dutch Ophthalm Res Ctr, Geervliet, Netherlands
[3] Vis Surg & Laser Ctr, San Diego, CA USA
关键词
D O I
10.1016/S0002-9394(98)00324-9
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
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. (C) 1999 by Elsevier Science Inc, All rights reserved.
引用
收藏
页码:340 / 341
页数:2
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