title: A new surgical technique for anterior segment ectasia: tectonic lamellar sclerokeratoplasty.
abstract: A 41-year-old patient with severe anterior segment ectasia and a previous history of failed corneal graft was treated by placing a 14-mm tectonic corneoscleral allograft in the eye to support both the corneal and the scleral thinning. Nylon 10-0 interrupted sutures were used at the sclero-scleral junction. The host conjunctiva, including the limbal area, was carefully sutured to the donor limbal area. Three months postoperatively, the graft was stable with no progression of the ectasia. The suturing of a corneoscleral graft over a severely ectatic cornea may be an acceptable technique for providing tectonic tissue support and stabilizing eyes with severe anterior segment ectasia.
authors.affiliation: Department of Ophthalmology, LSU Eye Center, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA.
authors.forename: Salomon
authors.initials: S
authors.lastname: Esquenazi
authors.forename: Wisam A
authors.initials: WA
authors.lastname: Shihadeh
authors.forename: Almamoun
authors.initials: A
authors.lastname: Abderkader
authors.forename: Herbert E
authors.initials: HE
authors.lastname: Kaufman
mesh_terms: D000328:Adult; D003315:Cornea / Q000473:pathology; D016039:Corneal Transplantation; D004108:Dilatation, Pathologic / Q000601:surgery; D006801:Humans; D007640:Keratoconus / Q000601:surgery*; D008297:Male; D012590:Sclera / Q000637:transplantation*; D013536:Suture Techniques; D014184:Transplantation, Homologous