Intentional retention of Descemet's membrane in keratoplasty for the surgical treatment of bullous keratopathy

Anat Loewenstein*, Orna Geyer, Moshe Lazar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Abstract We report on a modified keratoplasty procedure performed in 6 patients for the treatment of severe pseudophakic bullous keratopathy. While removing the host's cornea, the Descemet membrane was retained, and a full thickness graft sutured on top of it. Postoperatively, aqueous separated the host's Descemet membrane from the graft, thus forming a supernumerary anterior chamber. The graft remained clear in 5 of these patients during up to 28 months of follow‐up. We suggest that in some severely damaged and high risk eyes, where opening the anterior chamber might be associated with difficulties and complications, it could be worthwhile to perform an ‘extraocular’ procedure by retaining the host's Descemet membrane. 1993 Institution Acta Ophthalmologica Scandinavica

Original languageEnglish
Pages (from-to)280-282
Number of pages3
JournalActa Ophthalmologica
Volume71
Issue number2
DOIs
StatePublished - Apr 1993
Externally publishedYes

Keywords

  • Descemet's membrane
  • bullous keratopathy
  • keratoplasty

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