Skip Navigation LinksHome > August 2012 - Volume 31 - Issue 8 > Structural and Functional Salvaging of Eyes With Anterior St...
doi: 10.1097/ICO.0b013e3182137606

Structural and Functional Salvaging of Eyes With Anterior Staphyloma Using Cyclodialysis With Penetrating Keratoplasty

Mannan, Rashim MD*; Sharma, Namrata MD*; Pruthi, Archna MD*; Titiyal, Jeewan S. MD*; Vajpayee, Rasik B. MS, FRCS(Ed), FRANZCO*,†

Collapse Box


Purpose: To evaluate the efficacy of a novel technique of anterior segment reconstruction and cyclodialysis in patients with anterior staphyloma.

Methods: A prospective case series of 8 consecutive patients who underwent anterior segment restoration with penetrating keratoplasty and cyclodialysis was analyzed. The main parameters evaluated were structural success of the graft, improvement in visual acuity, and intraocular pressure.

Results: The globe could be salvaged in all the cases, and 75% (6 of 8) of the cases had clear graft at 6-month follow-up. Best-corrected visual acuity (BCVA) ranged from hand motion close to face to 6/12. None of the patients developed glaucoma during the follow-up period.

Conclusions: Intraoperative creation of a cyclodialysis cleft can aid in adequate postoperative intraocular pressure (IOP) control and hence decrease the likelihood of graft failure because of raised IOP in eyes predisposed to development of postkeratoplasty glaucoma.

© 2012 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.