Four Cases of Split Cornea Transplantation from a Single Cornea.

Kim, Hyo Won; Hwang, Ho Sik; Lim, Sung A; Kim, Man Soo

doi:2016.57.6.988

J Korean Ophthalmol Soc > Volume 57(6); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(6):988-993.
DOI: https://doi.org/10.3341/jkos.2016.57.6.988 Published online June 15, 2016.

Four Cases of Split Cornea Transplantation from a Single Cornea.

Hyo Won Kim, Ho Sik Hwang, Sung A Lim, Man Soo Kim

¹Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. mskim@catholic.ac.kr
²Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.

기증 각막 한 개로 두 가지 각막이식술을 실시한 4예

김효원¹⋅황호식²⋅임성아¹⋅김만수¹

가톨릭대학교 의과대학 서울성모병원 안과 및 시과학교실¹, 한림대학교 의과대학 춘천성심병원 안과학교실²

Correspondence: Man Soo Kim,
Email: mskim@catholic.ac.kr

Received: 20 August 2015 • Revised: 23 September 2015 • Accepted: 26 November 2015

Abstract

PURPOSE
To report four cases of split cornea transplantation involving separate Descemet membrane keratoplasty and Deep anterior lamella keratoplasty from a single cornea. CASE SUMMARY: Four donor corneas were separated into the endothelium and other layers. The endothelial layers were transplanted into 4 pseudophakic bullous keratopathy patients, and the other layers were stored in corneal storage media. Deep anterior lamella keratoplasties were performed with the stored corneas in 2 lipid keratopathy and 2 keratoconus patients. Postoperatively, all grafted corneas were stable. CONCLUSIONS: The authors report the first 4 cases of split cornea transplantation in Korea, which is experiencing a shortage of donated corneas. Split cornea transplantation will be of benefit to a large number of patients by separating a single cornea into separate layers to be implanted into two patients.

Key Words: Corneal transplantation;Deep anterior lamella keratoplasty (DALK);Descemet membrane;Partial thickness corneal transplantation;Split cornea transplantation