Posters

Efficiency of modified technique of slippery penetrating keratoplasty (PK) in complicated cases of corneal diseases

Poster Details

First Author: Z.Veselovskaya UKRAINE

Co Author(s):    N. Veselovskaya   O. Pyatiizbyantceva   B. Ivnev              

Abstract Details

Purpose:

To develop the reliable technique to prevent the dangerous complication during open sky penetrating keratoplasty (PK) in the complicated cases of combined anterior segment problems with corneal opacification.

Setting:

Kyiv Eye Center, Kyiv Medical University

Methods:

The  modified technique of PK included:host corneal flap cutting with its subsequent fixation with four sutures and one pilot one; donor corneal graft fixation by four sutures on the visco pillow on host graft with subsequent removal of four sutures from the host cornea; host corneal graft removing by pulling the pilot suture; final donor corneal graft fixation; gentamycin and dexamethason subconjunctival injection and monocular eye band. Were operated 65 patients (age 12- 79 years old) using this technique (16 with monoculus; 19 with simultaneous cataract; 24 cases with aphakia  or pseudophacia).

Results:

No severe complication of open sky surgery. The transparent corneal graft survival took place in 63 eyes. In 2 cases with total vascular corneal opacification we observed postoperatively mild corneal graft reaction with light opacification. The improvement of visual acuity was obtained in all cases (from h. m. - 0,06 to 0,1 - 0,7).  Postoperative care included standard local and general corticosteroids therapy during 6 months.

Conclusions:

According to our experience the main peculiarity of suggested slippery technique of PK reliably helped to avoid the development of severe open sky complications in complicated cases during surgery and to obtain satisfied anatomical and functional results. It is very important in complicated cases with combine pathology of anterior chamber.

Financial Disclosure:

None