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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

Clinical Sciences

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.

From the Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Ophthalmic Sciences, New Delhi, India.

Received for publication July 28, 2004; revision received January 26, 2005; accepted February 2, 2005.

Presented in part at the annual meeting of Eye Bank Association of America, 2003 at Anaheim, California.

Reprints: Rasik B. Vajpayee, MS, FRCSEd, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India (e-mail: rasikvajpayee@rediffmail.com).

© 2005 Lippincott Williams & Wilkins, Inc.