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Chapter-35 “Tuck in” Penetrating Keratoplasty

BOOK TITLE: Corneal Transplantation

Author
1. Vajpayee Rasik B
2. Sharma Namrata
ISBN
9788184488593
DOI
10.5005/jp/books/11167_35
Edition
2/e
Publishing Year
2010
Pages
2
Author Affiliations
1. Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Vision Eye Institute, Melbourne, Royal Victorian Eye and Ear Hospital, University of Melbourne, Melbourne, Australia, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Centre for Eye Research Australia, University of Melbourne, Australia, All India Institute of Medical Sciences, RP Center, New Delhi, India, Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Australia, Cornea Services Royal Victorian Eye and Ear Hospital, Centre for Eye Research, University of Melbourne, Australia, RP Center of Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Dr Rajendra Prasad Center for Ophthalmic Science
2. All India Institute of Medical Sciences (AIIMS), New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords

Abstract

Penetrating keratoplasty is the treatment of choice in cases of chronic corneal decompensation. Although grafts remain clear in a majority of cases, visual recovery is prolonged, and optical rehabilitation is often hampered by high degrees of astigmatism. Further, because of the presence of sutures for prolonged periods of time, suture-related problems may occur in the late postoperative period. Suture removal and visual rehabilitation in these cases may take almost a year. Finally, wound dehiscence may occur in such cases in up to 4% of cases, even when sutures are removed 1 year after surgery. Our technique provides a new tool in the armamentarium of corneal surgeons and offers to minimize wound-related problems associated with penetrating keratoplasty.

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