Penetrating Keratoplasty Combined with Electro-diathermy in Advanced Bullous Keratopathy.

Kim, Jae Do

Original Article

Journal of the Korean Ophthalmological Society 1978;19(4):407-415.
Published online April 1, 1978.

Penetrating Keratoplasty Combined with Electro-diathermy in Advanced Bullous Keratopathy.

Jae Do Kim

Department of Ophthalmology St. Mary's Hospital, Catholic Medical College, Seoul, Korea.

수포성 각막증에 대한 각막이식술과 열응고술의 병용

김재호 ( Jae Ho Kim )

Abstract

A new technique was proposed for the optical treatment of advanced cases of bullous keratopathy. Electrodiathermy (coagulation current of standard unit, 0.5-1 sec. small ball tip) on peripheral bullous area of recipient cornea, and then a partial penetrating keratoplasty(usually 6.0 ~ 7.0mm in diameter) on central bullous area of recipient corneas are main procedures. Young-donor corneas are used always, in fresh state. not exceeding 24 hours. Author performed this new technique on 8 eyes (6 patients; 2 patients on both eyes) of advanced bullous keratopathy. And among them 7 eyes (87.5%)showed successful crystal clear with improving useful vision, and only one eye(12.5%) showed opaque graft due to complicated glaucoma. Observation periodis, at least, from 12 months to 21 months.