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- Title
Simultaneous Vitreoretinal Surgery and Penetrating Keratoplasty without a Keratoprosthesis or Endoscopy for Vitreoretinal Disease Associated with Corneal Opacity.
- Authors
Yoshimoto, Takuya; Yamada, Naoyuki; Higashijima, Fumiaki; Teranishi, Shinichiro; Kimura, Kazuhiro
- Abstract
We evaluated the visual outcome of combined penetrating keratoplasty (PKP) and 25G pars plana vitrectomy (PPV) performed without a temporary keratoprosthesis or endoscopy in a patient with vitreoretinal disease complicated by severe corneal opacity. The patient was a 68-year-old woman who had severe corneal opacity and silicone oil in her left eye after several previous intraocular surgeries for rhegmatogenous retinal detachment and proliferative vitreoretinopathy. We successfully performed a combined surgery of conventional PKP followed by 25G PPV without the use of a keratoprosthesis.At 6 months after surgery, visual acuity had not improved, and the density of corneal endothelial cells of the donor cornea had declined from 3,205 to 1,969 cells/mm2. However, corneal transparency remained good, and additional surgery for vitreoretinal disease was not necessary. The combined surgical procedure designed to minimize the number of open-sky steps and to limit vitreoretinal complications thus proved to be safe and achieved stable corneal clarity in a patient with vitreoretinal disease and severe corneal opacity.
- Subjects
CORNEAL opacity; CORNEAL transplantation; OPERATIVE surgery; CORNEA surgery; PROLIFERATIVE vitreoretinopathy; SURGERY
- Publication
Case Reports in Ophthalmology, 2020, Vol 11, Issue 1, p127
- ISSN
1663-2699
- Publication type
Article
- DOI
10.1159/000506589