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KMID : 0360220140550091388
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Journal of the Korean Ophthalmological Society
2014 Volume.55 No. 9 p.1388 ~ p.1391
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A Case of Anterior Synechiolysis with Lamellar Corneal Dissection in Penetrating Keratoplasty
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Sung Yoon-Mi
Kim Eun-Chul
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Abstract
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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.
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KEYWORD
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Anterior synechiae, Lamellar corneal dissection, Penetrating keratoplasty, Synechiolysis
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