Tectonic lamellar keratoplasty utilizing a microkeratome and an artificial anterior chamber system

Lee A. Wiley, Mark A. Joseph, Clark Springs

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose. To describe a technique and report results of tectonic lamellar keratoplasty using tissue harvested with a microkeratome from a corneoscleral rim mounted in an artificial anterior chamber system. Methods. A donor lenticule was prepared from a corneoscleral rim utilizing the Moria LSK-1 (Moria/Microtek Inc., Doylestown, PA, U.S.A.) microkeratome and artificial anterior chamber. This tissue was used in the procedures of 6 eyes of 6 patients requiring tectonic lamellar keratoplasty. Three eyes were in danger of imminent perforation due to corneal ulceration. Other indications for lamellar engraftment include persistent wound leak following cataract extraction, persistent epithelial defect following a Grade 4 chemical burn, and limbal dermoid. Results. A successful outcome, defined as restoration or preservation of globe integrity, vision, and intact epithelium, was achieved in all patients. Follow-up ranged from 2-8 months with a mean of 4.5 months. Conclusions. Donor lenticules prepared with the ALTK (Moria/Microtek Inc.) system can be used in the successful management of eyes requiring tectonic lamellar keratoplasty.

Original languageEnglish (US)
Pages (from-to)661-663
Number of pages3
JournalCornea
Volume21
Issue number7
DOIs
StatePublished - Oct 2002
Externally publishedYes

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Corneal Transplantation
Anterior Chamber
Tissue Donors
Chemical Burns
Dermoid Cyst
Cataract Extraction
Epithelium
Wounds and Injuries

Keywords

  • Corneal ulcer
  • Lamellar keratoplasty
  • Microkeratome

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Tectonic lamellar keratoplasty utilizing a microkeratome and an artificial anterior chamber system. / Wiley, Lee A.; Joseph, Mark A.; Springs, Clark.

In: Cornea, Vol. 21, No. 7, 10.2002, p. 661-663.

Research output: Contribution to journalArticle

Wiley, Lee A. ; Joseph, Mark A. ; Springs, Clark. / Tectonic lamellar keratoplasty utilizing a microkeratome and an artificial anterior chamber system. In: Cornea. 2002 ; Vol. 21, No. 7. pp. 661-663.
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