April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
GLUED ON LAMELLAR SCLEROKERATOPLASTY FOR ANTERIOR SURFACE SEGMENT DECOMPENSATION
Author Affiliations & Notes
  • Eduardo Arenas
    Santa Fe Foundation, Bogota, Colombia
  • Footnotes
    Commercial Relationships Eduardo Arenas, None
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Investigative Ophthalmology & Visual Science April 2014, Vol.55, 3151. doi:
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    • Get Citation

      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)

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Abstract

Purpose: 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: 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

Results: 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.

Conclusions: 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

Keywords: 708 sclera • 696 retinal degenerations: hereditary • 753 vision and action  
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