Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy

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

doi:10.1016/s0002-9394(98)00324-9

Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy

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

Cornea

Onderzoeksoutput: Bijdrage aan tijdschrift › Brief › peer review

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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.

Originele taal-2	Engels
Pagina's (van-tot)	340-1
Aantal pagina's	2
Tijdschrift	American Journal of Ophthalmology
Volume	127
Nummer van het tijdschrift	3
DOI's	https://doi.org/10.1016/s0002-9394(98)00324-9
Status	Gepubliceerd - mrt. 1999

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10.1016/s0002-9394(98)00324-9

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title = "Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy",

abstract = "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.",

keywords = "Corneal Diseases/surgery, Corneal Stroma/surgery, Corneal Transplantation/methods, Female, Humans, Middle Aged, Visual Acuity",

author = "Melles, \{G R\} and F Lander and Beekhuis, \{W H\} and L Remeijer and Binder, \{P S\}",

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doi = "10.1016/s0002-9394(98)00324-9",

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TY - JOUR

T1 - Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy

AU - Melles, G R

AU - Lander, F

AU - Beekhuis, W H

AU - Remeijer, L

AU - Binder, P S

PY - 1999/3

Y1 - 1999/3

N2 - 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.

AB - 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.

KW - Corneal Diseases/surgery

KW - Corneal Stroma/surgery

KW - Corneal Transplantation/methods

KW - Female

KW - Humans

KW - Middle Aged

KW - Visual Acuity

U2 - 10.1016/s0002-9394(98)00324-9

DO - 10.1016/s0002-9394(98)00324-9

M3 - Letter

C2 - 10088746

SN - 0002-9394

VL - 127

SP - 340

EP - 341

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

IS - 3

ER -

Posterior lamellar keratoplasty for a case of pseudophakic bullous keratopathy

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