Title | Combination of a corneal allograft with a rotating partial autograft in therapeutic penetrating keratoplasty |
Abstract Nr. | A1056 |
Purpose | To describe a therapeutic penetrating keratoplasty (TPKP) technique that achieves satisfactory visual rehabilitation with a minimal risk of rejection. |
Methods | A patient presented with a corneal perforation in the left eye extending to the temporal limbus. We performed a novel surgical procedure, in which a corneal allograft was combined with a rotating partial autograft. |
Results | The TPKP placed the optical zone of the donor cornea over the centre of the entrance pupil. The chances of an immunological rejection were minimised by intercalating a crescent of autologous tissue between the allograft and the limbal vessels. |
Conclusion | The combination of an allograft with a rotating autograft minimises the disadvantages associated with eccentric or oversized trephination. |
Last name | CLAERHOUT |
Initials | I |
Department | Department of Ophthalmology, Ghent University Hospital |
City | Gent |
Last name | Van den Broecke |
Initials | C |
Department | Department of Pathology, Ghent University Hospital |
City | Gent |
Last name | Kestelyn |
Initials | Ph |
Department | Department of Ophthalmology, Ghent University Hospital |
City | Gent |