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

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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

¸ñÀû: ȫä¾ÕÀ¯ÂøÀÌ µ¿¹ÝµÈ °¢¸· Áúȯ ȯÀÚ¿¡¼­ ÀüÃþ°¢¸·ÀÌ½Ä ½Ã °¢¸· ºÎºÐÃþ ¹Ú¸®¸¦ ÅëÇÏ¿© À¯Âø¹Ú¸®¼úÀ» ÇÔ²² ½ÃÇàÇÑ 1¿¹¸¦ º¸°íÇÏ °íÀÚ ÇÑ´Ù.

Áõ·Ê¿ä¾à: ȫä¾ÕÀ¯ÂøÀÌ µ¿¹ÝµÈ °¢¸·ÀÌ½ÄÆí ±â´É»ó½Ç¾È¿¡¼­ ÀüÃþ°¢¸·ÀÌ½Ä ½Ã, Áø°ø trephineÀ¸·Î ¼ö¿©°¢¸· ºÎºÐÃþ ¹Ú¸®¸¦ ½ÃÇàÇÏ¿© Àü¹æ ½Ã¾ß È®º¸ ÈÄ, Èú·Ð ¹Ù´Ã·Î ȫä À¯Âø ¹Ú¸®¸¦ ½ÃÇàÇÏ¿´´Ù. ÀÌÈÄ, ³²Àº ÃþÀ» °¢¸·°¡À§·Î Á¦°ÅÇÏ¿´°í °ø¿© °¢¸·À» Áø°ø trephineÀ¸ ·Î õ°øÇÏ¿© 10-0 ³ªÀÏ·ÐÀ¸·Î ºÀÇÕÇÏ¿´´Ù. ¼ö¼ú ÈÄ ¼ö°³¿ù µ¿¾È Àü¹æ ȫäÀ¯Âø ¼Ò°ß º¸ÀÌÁö ¾ÊÀ¸¸ç Àü¹æ Àß Çü¼ºµÇ¾úÀ¸¸ç ÀÌ½ÄÆíÀº Àß »ýÂøµÇ¾ú´Ù.

°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
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