First Author: M.Papathanassiou GREECE
Co Author(s): N. Ioannou L. Papaioannou G. Tsolkas P. Theodossiadis
Purpose:
To present the role of large eccentric penetrating keratoplasty (PK) in the management of keratoglobus
Setting:
Cornea Clinic, 2nd Ophthalmology Department, ATTIKON Hospital, University of Athens, Greece
Methods:
We present the case of a 29-year-old male patient with bilateral keratoglobus who presented with acute corneal hydrop in his right eye following extensive Descemets membrane rupture. Visual acuity was hand motion in his RE while his left eye had a visual acuity of 2/10 wearing an hybridic contact lens. Peripheral cornea was extremely thin in several hours and the adjacent sclera looked similarly thin (blue sclera). Acute hydrops was managed conservatively as extensive descemets break prevented from using intracameral gas for reattachment. Two months later large PK was performed in the right eye using 9.5 mm diameter graft over a 9 mm patients cornea trephination. 20 interrupted 10.0 nylon sutures were used
Results:
Minor aqueous leakage between 2nd and 3rd hr was noticed at the first postoperative day. Two more interrupted 10.0 nylon sutures were used. No further complications were encountered and postoperative course was uneventful. Fifteen months postoperatively the graft was clear and best corrected visual acuity was 3/10
Conclusions:
Large penetrating keratoplasty has still an important role in the management of keratoglobus, in cases where peripheral tuck-in lamellar keratoplasty or epikeratophakia present serious intraoperative difficulties in lamellar dissection as well as in stabilizing the graft due to extensive peripheral corneal thinning and scleral atrophy FINANCIAL DISCLOSURE?: No
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