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Eduardo Arenas; GLUED ON LAMELLAR SCLEROKERATOPLASTY FOR ANTERIOR SURFACE SEGMENT DECOMPENSATION. Invest. Ophthalmol. Vis. Sci. 2014;55(13):3151.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To report a technique of modified sclerokeratoplasty using fibrin glue without any type of sutures in cases of heavily decompensate corneas unable to withstand a new standard Penetrating keratoplasty
Methods: The technique consists in preparing a 15 to 16 mm diameter fresh donor eye globe, dissecting in the sclera side a lamellar flap of approximately half of the depth and in the recipient making a similar dissection in order to avoid reaching the ciliary body. In order to prepare the recipient the conjunctiva is dissected for 360 degrees, making two relaxing incisions 180 decres apart. The donor is placed using only fibrin glue to attach it into the dissected scleral recipient, and then it is covered with two sutures from the relaxed conjunctiva
We show the results of 80 consecutive cases with a follow-up from 6 months to 5 years. The oldest case with visual results followed for 60 months, still has a visual acuity of 20/100.
Lamellar sclerokeratoplasty without sutures is a new technique for severe cases of corneal and anterior segment decompensation which can offer the final solution, sometimes achieving good visual results
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