홍채앞유착이 있는 환자에서 전층각막이식 시 각막 부분층 박리를 이용한 유착박리술 1예

A Case of Anterior Synechiolysis with Lamellar Corneal Dissection in Penetrating Keratoplasty

Purpose: To report a case of anterior synechiolysis with lamellar corneal dissection in penetrating keratoplasty. Case summary: In an eye with graft failure and anterior synechiae, we performed anterior synechiolysis with a healon needle after lamellar dissection using vacuum trephine to visualize the anterior chamber during penetrating keratoplasty. Additionally, the remnant corneal layer was removed using corneal scissors. A donor cornea was harvested using a vacuum trephine and the corneal button was sewn in place with 10-0 nylon. We observed a well grafted cornea and well formed anterior chamber with no anterior synechiae observed on follow-up. Conclusions: In patients with anterior synechiae, the cornea can be dissected from the anterior synechiae completely using lamellar corneal dissection in penetrating keratoplasty to visualize the anterior chamber. J Korean Ophthalmol Soc 2014;55(9):1388-1391