Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy

G R Melles, F Lander, W H Beekhuis, L Remeijer, P S Binder

Research output: Contribution to journalLetterpeer-review


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.

Original languageEnglish
Pages (from-to)340-1
Number of pages2
JournalAmerican Journal of Ophthalmology
Issue number3
Publication statusPublished - Mar 1999


  • Corneal Diseases/surgery
  • Corneal Stroma/surgery
  • Corneal Transplantation/methods
  • Female
  • Humans
  • Middle Aged
  • Visual Acuity


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