Posters

Deep anterior lamellar keratoplasty in a traumatic case with Descemet’s membrane multiple microperforations previously confirmed by AS-OCT

Poster Details

First Author: A.Andrade SPAIN

Co Author(s): M. Bergés   N. Sevilla   E. Cilveti   L. Bisbe   S. Martin   J. Puig     

Abstract Details

Purpose:

To discuss the procedure and outcomes of a Deep Anterior Lamellar Keratoplasty in an eye with  Descemet’s Membrane multiple microperforations previously confirmed by AS-OCT, following a traumatic exposure to glass fibers.

Setting:

Cornea and Ocular Surface Unit. Vall d´Hebron Hospital. Barcelona. Spain.

Methods:

A single retrospective case report is presented. We present a case of a 35 year old patient who was referred to our center following a traumatic exposure to high temperature polyamide and glass fiber in his left eye. At presentation, the patient had a severe corneal caustication and multiple intracorneal glass fibers. AS-OCT scan confirmed the presence of glass fibers at multiple levels of the cornea and it showed multiple endothelial perforations. After amniotic membrane transplantation, the patient developed multiple anterior and stromal leukomas and we decided to perform a Deep Anterior Lamellar Keratoplasty.

Results:

We performed a type 1 big bubble Deep Anterior Lamellar Keratoplasty. During the surgery, the microperforations could be seen and were confirmed by intraoperative OCT. Although some glass fibers were left in the remnent cornea, the surgery resulted in excellent anatomical and functional outcomes

Conclusions:

Deep Anterior Lamellar Keratoplasty is widely accepted as the definitive treatment for multiple corneal pathologies when there is no evidence of endothelial impairment and it has shown inferior rejection rates compared to penetrating keratoplasty. Due to high risk of corneal rejection in this patient, secondary to proinflammatory state, we decided to perform a Deep Anterior Lamellar Keratoplasty with excellent outcomes.

Financial Disclosure:

None