[Corneal transplant utilizing a corneal graft that had undergone laser surgery--case report].
Report on a successful clinical case of a corneal penetrating keratoplasty using inadvertently a corneal graft that had undergone laser assisted in situ keratomileusis (LASIK). Review of a clinical case of a patient of the Cornea Department of the "Hospital Oftalmológico de Sorocaba" who underwent a penetrating keratoplasty (PK) to correct keratoconus in his left eye. A corneal graft from a donor who had LASIK surgery was used. Surgery was completed without complications, although a separation of the corneal lamellae was noted during surgery. Patient evolution was good with a final corrected visual acuity of 20/40. PAM was also 20/40. Epithelial growth was noticed on the flap interface, although, without progression of this finding. Eye Banks should improve screening techniques to rule out refractive surgery in the donor corneas; there was no impairment of the final result of this transplant until the 6th month after surgery; long-term follow-up is necessary to reveal if surgical success was impaired by prior refractive surgery.
Farias
Roberta Jansen de Mello
RJ
Departamentos de Córnea e Doenças Externas, Hospital Oftalmológico de Sorocaba, Sorocaba, SP. robertafarias@bol.com.br
Parolim
André
A
Sousa
Luciene Barbosa de
LB
D000328:Adult; D003315:Cornea / Q000601:surgery*; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D015948:Keratoplasty, Penetrating; D008297:Male; D014019:Tissue Donors