Fibrin Glue–Assisted Closure of Macroperforation in Predescemetic Deep Anterior Lamellar Keratoplasty With a Donor Obtained From Small Incision Lenticule Extraction

Cornea ◽  
2019 ◽  
Vol 38 (6) ◽  
pp. 775-779 ◽  
Author(s):  
Soosan Jacob ◽  
Pallavi Dhawan ◽  
Michael Tsatsos ◽  
Amar Agarwal ◽  
Smita Narasimhan ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Lamellar Keratoplasty ◽  
Deep Anterior Lamellar Keratoplasty ◽  
Small Incision Lenticule Extraction ◽  
Small Incision ◽  
Anterior Lamellar Keratoplasty ◽  
Lenticule Extraction

scholarly journals Treatment of Mooren’s ulcer coexisting with a pterygium using an intrastromal lenticule obtained from small-incision lenticule extraction: case report and literature review

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110202
Author(s):  
Na He ◽  
Wei Song ◽  
Ying Gao
Keyword(s):  
Lamellar Keratoplasty ◽  
Small Incision Lenticule Extraction ◽  
Small Incision ◽  
Ocular Symptoms ◽  
First Case ◽  
Mooren’S Ulcer ◽  
History Of ◽  
Lenticule Extraction ◽  
Mooren's Ulcer ◽  
Conjunctival Autografting

The coexistence of Mooren’s ulcer and a pterygium is an extremely rare ocular condition that has been infrequently reported in the literature to date. We herein present the first case of treatment of Mooren’s ulcer coexisting with a pterygium using a lenticule obtained by myopic small-incision lenticule extraction (SMILE). A 61-year-old woman presented with a 3-month history of recurrent ocular pain and red eye caused by Mooren’s ulcer coexisting with a pterygium. She received topical immunosuppressive and anti-infection treatments for almost 3 months. However, her ocular symptoms and signs did not substantially improve. Therefore, we performed lamellar keratoplasty with a corneal lenticule obtained by SMILE, followed by pterygium excision combined with conjunctival autografting. The patient recovered well with no complications or recurrence 1 year postoperatively. Our success suggests that combined surgery may be an effective management for coexistence of Mooren’s ulcer and a pterygium if conservative treatments fail. A corneal lenticule obtained by SMILE can be used as the lamellar keratoplasty graft in such patients.

scholarly journals Deep anterior lamellar keratoplasty with manual small-incision cataract surgery: a modification of the triple procedure

2020 ◽  
Vol 17 (2) ◽  
pp. 196-202
Author(s):  
Pawan Prasher
Keyword(s):  
Surgical Technique ◽  
Cataract Surgery ◽  
Lamellar Keratoplasty ◽  
Deep Anterior Lamellar Keratoplasty ◽  
Small Incision Cataract Surgery ◽  
Closed Chamber ◽  
Small Incision ◽  
Anterior Lamellar Keratoplasty ◽  
Triple Procedure ◽  
Descemet’S Membrane

We describe a modified surgical technique for performing the triple procedure that combines deep anterior lamellar keratoplasty with manual small-incision cataract surgery. This technique offers advantages in terms of undergoing a single surgery as compared to the staged procedure, preservation of the host Descemet’s membrane and endothelium, and ability to perform cataract surgery in a closed-chamber setting.

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