Posters

Modified deep anterior lamellar keratoplasty for the management of corneal perforation

Poster Details

First Author: E. Kostopoulou GREECE

Co Author(s):    A. Chranioti   V. Vlatsios   N. Laiou   K. Stamoulas   P. Oikonomidis   N. Ziakas     

Abstract Details

Purpose:

To report a case of modified Deep Anterior Lamellar Keratoplasty (DALK) for the management of corneal perforation.

Setting:

1st Ophthalmology Department of Aristotelium University of Thessaloniki

Methods:

A 76-year-old man suffering from corneal perforation in his left eye (LE) was referred to our clinic. The patient had undergone two attempts of conjunctival auto-grafting. Best corrected visual acuity (BCVA) of his LE was hand movement (HM), while slit- lamp examination revealed a central corneal perforation sealed by iris prolapse. The patient underwent urgent modified DALK with a partial thickness corneal graft which was provided by the AHEPA University Hospital Eye Bank of Thessaloniki.

Results:

Modified DALK led to anatomical restoration of the globe, while VA improved to counting fingers (CF). The cornea remained clear, apart from the initial site of perforation, with a low risk of graft rejection, since the host endothelium was left in place.

Conclusions:

Modified DALK is a safe and efficient tectonic method for the management of corneal perforation.

Financial Disclosure:

NONE