Affordable Access

deepdyve-link
Publisher Website

Penetrating keratoplasty using collagen crosslinked donor tissue: A case report.

Authors
  • Bal, Sila1
  • Ciolino, Joseph B1
  • 1 Massachusetts Eye and Ear Infirmary Boston, USA.
Type
Published Article
Journal
American journal of ophthalmology case reports
Publication Date
Jun 01, 2021
Volume
22
Pages
101039–101039
Identifiers
DOI: 10.1016/j.ajoc.2021.101039
PMID: 33681532
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

In patients with corneal melt, pretreatment crosslinking (CXL) of donor tissue prior to placement of Boston keratoprosthesis (K-Pro I) decreases graft failure. We report a case of corneal sparing in a phthisical eye following penetrating keratoplasty (PKP) with pretreatment CXL of the donor cornea. A 69-year-old female with a history of familial aniridia and bilateral K-Pro I placement. Her clinical course was complicated by recurrent corneal melt and hypotony in the left eye, resulting in extraction of the K-Pro I and successive PKP with pretreatment CXL of the donor cornea. She subsequently developed phthisis of the globe with notable retention of corneal structure. At 8 years, she maintains corneal contour without recurrence of keratolysis or extension of phthisis. This is the first reported case of corneal sparing in a phthisical eye with a history of PKP, suggesting a protective role of pretreatment CXL of donor tissue against keratolysis and phthisis. © 2021 Published by Elsevier Inc.

Report this publication

Statistics

Seen <100 times