Phacoemulsification after penetrating keratoplasty with autologous limbal transplant and amniotic membrane transplant in chemical burns.
We report a patient who had earlier penetrating keratoplasty with amniotic membrane transplant and autologous limbal cell transplant for chemical injury who underwent cataract surgery by phacoaspiration. A posterior limbal incision with corneal valve was made superotemporally with extreme caution to avoid damage to the limbal graft. Aspiration flow rates and vacuum were kept low to avoid any turbulence during surgery. A 6.0 mm optic diameter acrylic foldable intraocular lens was inserted in the bag. The patient achieved a best-corrected visual acuity of 6/12 at 10 months' follow-up with a clear corneal graft. We conclude that caution during wound construction and phacoaspiration can help preserve corneal and limbal graft integrity in patients undergoing cataract surgery after corneal graft and limbal transplantation.
Cornea Service, Guru Nanak Eye Center, Maulana Azad Medical College, New Delhi, India. dr_rituarora@yahoo.com
Ritu
R
Arora
R
R
Narayanan
Shailley
S
Jain
Usha K
UK
Raina
D K
DK
Mehta
D000328:Adult; D000650:Amnion / Q000637:transplantation*; D002057:Burns, Chemical / Q000601:surgery*; D017690:Cell Transplantation; D003318:Corneal Opacity / Q000139:chemically induced / Q000601:surgery; D019573:Epithelium, Corneal / Q000637:transplantation*; D005126:Eye Burns / Q000139:chemically induced* / Q000601:surgery; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000379:methods*; D019654:Lens Implantation, Intraocular; D016850:Limbus Corneae / Q000166:cytology*; D008297:Male; D018918:Phacoemulsification; D011182:Postoperative Care; D014182:Transplantation, Autologous