A Case of Anterior Synechiolysis with Lamellar Corneal Dissection in Penetrating Keratoplasty.

Sung, Yoon Mi; Kim, Eun Chul

doi:2014.55.9.1388

J Korean Ophthalmol Soc > Volume 55(9); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(9):1388-1391.
DOI: https://doi.org/10.3341/jkos.2014.55.9.1388 Published online September 15, 2014.

A Case of Anterior Synechiolysis with Lamellar Corneal Dissection in Penetrating Keratoplasty.

Yoon Mi Sung, Eun Chul Kim

Department of Ophthalmology, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Bucheon, Korea. eunchol@hanmail.net

홍채앞유착이 있는 환자에서 전층각막이식 시 각막 부분층 박리를 이용한 유착박리술 1예

성윤미⋅김은철

Department of Ophthalmology, Bucheon St. Mary’s Hospital, The Catholic University of Korea College of Medicine,
Bucheon, Korea

Abstract

PURPOSE
To report a case of anterior synechiolysis with lamellar corneal dissection in penetrating keratoplasty. CASE SUMMARY: In an eye with graft failure and anterior synechiae, we performed anterior synechiolysis with a healon needle after lamellar dissection using vacuum trephine to visualize the anterior chamber during penetrating keratoplasty. Additionally, the remnant corneal layer was removed using corneal scissors. A donor cornea was harvested using a vacuum trephine and the corneal button was sewn in place with 10-0 nylon. We observed a well grafted cornea and well formed anterior chamber with no anterior synechiae observed on follow-up. CONCLUSIONS: In patients with anterior synechiae, the cornea can be dissected from the anterior synechiae completely using lamellar corneal dissection in penetrating keratoplasty to visualize the anterior chamber.

Key Words: Anterior synechiae;Lamellar corneal dissection;Penetrating keratoplasty;Synechiolysis