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A Case of Anterior Synechiolysis with Lamellar Corneal Dissection in Penetrating Keratoplasty
¼ºÀ±¹Ì ( Sung Yoon-Mi ) - °¡Å縯´ëÇб³ Àǰú´ëÇÐ ºÎõ¼º¸ðº´¿ø ¾È°úÇб³½Ç
±èÀºÃ¶ ( Kim Eun-Chul ) - °¡Å縯´ëÇб³ Àǰú´ëÇÐ ºÎõ¼º¸ðº´¿ø ¾È°úÇб³½Ç
Abstract
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°á·Ð: ÀüÃþ°¢¸·ÀÌ½Ä ½Ã °¢¸· ºÎºÐÃþ ¹Ú¸®¸¦ ÅëÇÏ¿© Àü¹æÀÇ ½Ã¾ß¸¦ ÁÁ°Ô ÇÏ¿© ȫä¾ÕÀ¯ÂøÀ» ÁÖº¯ºÎ±îÁö ¿Ïº®È÷ Á¦°ÅÇÒ ¼ö ÀÖ¾ú´Ù.
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.
Ű¿öµå
Anterior synechiae; Lamellar corneal dissection; Penetrating keratoplasty; Synechiolysis
KMID :
0360220140550091388
DOI :
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