Cross-linking as an adjuvant treatment for tectonic corneal lamellar graft preparation.

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Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_162654E6F298
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Cross-linking as an adjuvant treatment for tectonic corneal lamellar graft preparation.
Journal
The open ophthalmology journal
Author(s)
Kymionis G.D., Plaka A.D., Diakonis V.F., Grentzelos M.A., Kontadakis G.A., Mersinoglou A.C., Detorakis E.T., Topouzis F.
ISSN
1874-3641 (Print)
ISSN-L
1874-3641
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
7
Pages
79-81
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
To describe a new surgical approach for the tectonic reconstruction of the anterior ocular segment and the management of scleral and conjuctival melting.
Case series of patients demonstrating anterior segment anomalies, such as scleral and conjunctival melting. The anterior stromal part of a pre-cut corneal graft for Descemet's stripping automated endothelial keratoplasty (DSAEK) was cross-linked with riboflavin and ultraviolet A irradiation and was used to cover scleral (scleral melting in a patient with necrotizing scleritis, one case) and conjuctival (dehiscence of the conjunctiva in patients with anti-glaucomatous valve exposure, two cases) areas. The endothelial part of all corneal grafts was used for DSAEK in patients with need of corneal endothelial transplantation.
Repair of scleral and conjuctival melting was successful in all cases. No intra- or post- operative complications occured. Visual acuity of all patients remained stable during the follow up period. One year postoperatively the corneal graft remained in place and no signs of inflammation were evident, while all grafts were epithelialized.
The use of cross-linked corneal graft for the tectonic reconstruction of the anterior ocular segment represents an adequate surgical approach for the management of scleral and conjuctival melting; while, at the same time it offers the advantage of using one corneal graft for two recipients.
Keywords
Corneal collagen cross-linking, conjuctival melting, corneal transplantation., scleral melting
Pubmed
Open Access
Yes
Create date
01/10/2019 12:53
Last modification date
15/01/2021 7:08
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