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Cornea:
Clinical Sciences

Central Penetrating Keratoplasty With Peripheral Intrastromal Tuck

Vajpayee, Rasik B MS, FRCSEd; Sharma, Namrata MD; Bhartiya, Prashant MD; Agarwal, Tushar MD; Tandon, Radhika MD, FRCSEd; Titiyal, Jeewan S MD

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Abstract

Purpose: To report a new technique of central penetrating keratoplasty with peripheral intrastromal tuck in cases of chronic corneal decompensation.

Methods: Central penetrating keratoplasty with peripheral intrastromal tuck was undertaken in 8 eyes with chronic corneal decompensation. An 8-mm donor tissue with a peripheral flange of 2 mm was fashioned and sutured into a 7.5-mm recipient bed having a 2-mm intralamellar pocket. Sixteen full-thickness interrupted sutures were passed. Suture removal was possible as early as 1 month, and all sutures were removed by 4 months.

Results: Postoperative BCVA improved to 20/40 to 20/80 in all eyes, and astigmatism was <4 diopters in all cases at the last follow-up, which ranged from 5 to 16 months.

Conclusions: Central penetrating keratoplasty with peripheral intrastromal tuck is a useful technique because it allows early suture removal and visual rehabilitation.

© 2005 Lippincott Williams & Wilkins, Inc.

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