title: Central penetrating keratoplasty with peripheral intrastromal tuck.
abstract: OBJECTIVE
  To report a new technique of central penetrating keratoplasty with peripheral intrastromal tuck in cases of chronic corneal decompensation.
  
  
  METHODS
  Central penetrating keratoplasty with peripheral intrastromal tuck was undertaken in 8 eyes with chronic corneal decompensation. An 8-mm donor tissue with a peripheral flange of 2 mm was fashioned and sutured into a 7.5-mm recipient bed having a 2-mm intralamellar pocket. Sixteen full-thickness interrupted sutures were passed. Suture removal was possible as early as 1 month, and all sutures were removed by 4 months.
  
  
  RESULTS
  Postoperative BCVA improved to 20/40 to 20/80 in all eyes, and astigmatism was <4 diopters in all cases at the last follow-up, which ranged from 5 to 16 months.
  
  
  CONCLUSIONS
  Central penetrating keratoplasty with peripheral intrastromal tuck is a useful technique because it allows early suture removal and visual rehabilitation.
authors.affiliation: Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Ophthalmic Sciences, New Delhi. rasikvajpayee@rediffmail.com
authors.forename: Rasik B
authors.initials: RB
authors.lastname: Vajpayee
authors.forename: Namrata
authors.initials: N
authors.lastname: Sharma
authors.forename: Prashant
authors.initials: P
authors.lastname: Bhartiya
authors.forename: Tushar
authors.initials: T
authors.lastname: Agarwal
authors.forename: Radhika
authors.initials: R
authors.lastname: Tandon
authors.forename: Jeewan S
authors.initials: JS
authors.lastname: Titiyal
mesh_terms: D000328:Adult; D000368:Aged; D003316:Corneal Diseases / Q000473:pathology / Q000601:surgery*; D003319:Corneal Stroma / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity