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First Author: B.Ko SOUTH KOREA
Co Author(s): S. Baek
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To report the long-term clinical outcome of eyes with perforated paralimbal lesions treated by tectonic lamellar sclerokeratoplasty without dissection of recipient tissue.
Konyang University Hospital, Daejeon, Republic of Korea.
The study included five eyes (5 patients) with perforated corneoscleral lesions that were operated on by the same surgeon. All of the patients underwent tectonic lamellar sclerokeratoplasty combined with amniotic membrane transplantation. In one patient, cataract extraction with vitrectomy and secondary IOL implantation were also performed. In another patient, the surgery was combined with vitrectomy and silicone oil injection.
The mean follow up time was 36.6 months. Postoperative best-corrected visual acuity ranged from NLP to 20/25, with 2 of 5 eyes (40%) gaining an improvement of visual acuity. No patient had to be reoperated because of wound leak. Two patients had elevated IOP and have been treated by anti-glaucoma agents. But, in the others, the operations had successful outcome without any significant complications.
For eyes with perforated paralimbal lesions, lamellar sclerokeratoplasty without recipient dissecion is an acceptable surgical option that has good results in long-term follow up.