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Title

Modified Surgical Epikeratoplasty for Keratoglobus: Anatomic and Visual Findings

Year: 1393
COI: JR_PSQ-2-1_008
Language: EnglishView: 136
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Authors

Khakshoor H - Associate Professor Ophthalmology, Research Center for Patients Safety, Mashhad University of Medical Sciences, Mashhad, Iran.
Shokoohi Rad S - Eye Research Center, Khatam-Al-Anbia Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Eslampoor AR - Assistant Professor Vitreous-Retinal Research Center, Khatam-Al-Anbia Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Askari S.A - Retina Research Centre, Khatam-Al-Anbia Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract:

Introduction: Keratoglobus is a controversial issue and still remains as one of the ambiguous corneal disorders; it can be managed by different surgical techniques successfully; yet the risk of globe rupture is high in these patients due to corneal weakness. In cases of progressive involvement, a large corneal graft is needed due to extreme thinness of the cornea. Recent adventures in surgical techniques have led to the introduction of new managements particularly in Keratoglobus treatment such as the tuck procedure in which a 12 mm corneo-scleral graft is miniaturized at its peripheral margin. A pocket is formed at the limbus of the recipient and the donor graft is tucked into it. We present a case of epikeratoplasty in Keratoglobus management. Case:  A 45-year-old man with no history of a systemic disease underwent epikeratoplasty with the diagnosis of advanced bilateral keratoglobus since three years and six months before in the left and right eye, respectively. Pachymetry and best-corrected visual acuity (BCVA) were recorded before and six months after surgery. The highest recorded BCVA was 5/200 before the operation, whereas it was measured 6/10 (left eye) and 4/10 (right eye) at six-month follow-up examinations. Pachymetric findings improved from 244 to 773 and 212 to 744 (thinnest points) in the left and right eyes, respectively. Conclusion: Epikeratoplasty is a relatively safe, effective and reversible extraoccular procedure in the management of keratoglobus. It can also be performed to flatten the cornea and protect it against acute corneal hydrops and perforation.

Keywords:

Epikeratoplasty, Keratoglobus, surgical technique

Paper COI Code

This Paper COI Code is JR_PSQ-2-1_008. Also You can use the following address to link to this article. This link is permanent and is used as an article registration confirmation in the Civilica reference:

https://civilica.com/doc/942086/

How to Cite to This Paper:

If you want to refer to this Paper in your research work, you can simply use the following phrase in the resources section:
H, Khakshoor and S, Shokoohi Rad and AR, Eslampoor and S.A, Askari,1393,Modified Surgical Epikeratoplasty for Keratoglobus: Anatomic and Visual Findings,https://civilica.com/doc/942086

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  • Cameron JA. Keratoglobus. Cornea. 1993; 12(2):124-130. ...
  • Pouliquen Y, Dhermy P, Espinasse MA, Savoldelli M. [Keratoglobus]. J ...
  • Biglan AW, Brown SI, Johnson BL. Keratoglobus and blue sclera. ...
  • Elder MJ. Leber congenital amaurosis and its association with keratoconus ...
  • Karabatsas CH, Cook SD. Topographic analysis in pellucid marginal corneal ...
  • Jacobs DS, Green WR, Maumenee AE. Acquired keratoglobus. Am J ...
  • Kanellopoulos AJ, Pe LH. An alternative surgical procedure for the ...
  • Kaufman HE, Werblin TP. Epikeratophakia for the treatment of keratoconus. ...
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