Complex Ocular Reconstruction For Visual Salvation With Visiongraft®
Published 2026 - 44th Congress of the ESCRS
Reference: CC03.10 | Type: Case Report | DOI: 10.82333/6z1j-bs45
Authors: A/Prof. Wan Haslina Halim* 1 , Dr Sree Shantha Kumaran S.Magendran 2 , Dr Lam Chenshen 2 , Dr Mazaya Mahmud 3
1Ophthalmology,Universiti Kebangsaan Malaysia,Kuala Lumpur,Malaysia;Ophthalmology,UCSI University,Kuala Lumpur,Malaysia, 2Ophthalmology,Universiti Kebangsaan Malaysia,Kuala Lumpur,Malaysia, 3Ophthalmology,Universiti Putra Malaysia,Serdang,Malaysia
Purpose
To highlight the success of VisionGraft® in for therapeutic and tectonic keratoplasty in complex keratoplasty-vitrectomy surgery cases
Setting
Ophthalmology Clinic, Hospital Canselor Tunku Mukhriz, Universiti Kebangsaan Malaysia in Kuala Lumpur, Malaysia
Report of case
Report of 4 cases of complex corneal transplantation surgery with Visiongraft, a readily available, non-immunogenic, cross-linked corneal tissue. All cases showed stable graft and no recurrent infection up to 1 year postoperative.
Case 1
A 77-year-old gentleman presented with severe right eye exogenous endophthalmitis , complicated with inferior retinal detachment. He underwent temporary keratoprosthesis (KPro), pars plana vitrectomy (PPV) with Densiron, and VisionGraft® transplant. His vision improved from vague perception of light to 1/60.
Case 2
A 64-year-old female, with a history of penetrating keratoplasty (PK) developed exogenous endophthalmitis from a suture-related ulcer requiring re-PK. Subsequently required further required complex revision surgery, including temporary keratoplasty, membranectomy, PPV, and Ahmed tube revision. VisionGraft® was transplanted . Her vision improved from HM to CF.
Case 3
A 27-year-old female presented with mixed bacterial/fungal corneal ulcer. The ulcer progressed to exogenous endophthalmitis. She underwent AC washout, temporary KPro, PPV, and VisionGraft® transplantation.Post-surgery, LE vision improved from HM to 6/60.
Case 4: A 45-year-old diabetic male with prior penetrating trauma presented with recalcitrant fungal keratitis and secondary endophthalmitis. He underwent salvage therapeutic penetrating keratoplasty with VisionGraft®. Postoperative outcomes demonstrated infection resolution and tectonic stabilization with vision of HM.
Conclusion/Take home message
All cases showed no-recurrence of corneal infection post transplant and was planned for further optical keratoplasty for vision. VisionGraft® is effective in complex ocular reconstructions, particularly in scenarios involving severe infection and extensive tissue damage that requires corneal transplantation. For critical therapeutic and tectonic transplant cases, Visiongraft® offers substantial benefits in preserving vision.