| A technique to salvage big-bubble deep anterior lamellar keratoplasty after inadvertent full-thickness trephination. | |
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MedLine Citation:
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PMID: 22454710 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Herein we describe a technique for management of large inadvertent full-thickness trephination during deep anterior lamellar keratoplasty using the big-bubble technique without converting to penetrating keratoplasty. First, the anterior chamber is formed with an ophthalmic viscosurgical device (OVD). Then, the full-thickness wound is secured with one X-type 10-0 nylon suture. A 27-gauge needle is attached to a 2 ml air-filled syringe and inserted into the corneal stroma in the meridian opposite to the site of full-thickness trephination. Air is gently injected to produce a limited area of "big-bubble" detaching Descemet's membrane (DM) from the corneal stroma. The "big bubble" is slowly expanded with injection of OVD. Finally, the recipient stroma is removed, the donor lenticule is placed and the DM tear is secured with one full thickness 10-0 nylon suture. |
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Authors:
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Siamak Zarei-Ghanavati; Mehran Zarei-Ghanavati |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of ophthalmic & vision research Volume: 6 ISSN: 2008-322X ISO Abbreviation: J Ophthalmic Vis Res Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2012-03-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101497643 Medline TA: J Ophthalmic Vis Res Country: Iran |
Other Details:
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Languages: eng Pagination: 66-8 Citation Subset: - |
Affiliation:
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Eye Research Center and Department of Ophthalmology, Khatam-al-Anbia Eye Hospital Mashhad University of Medical Sciences, Mashhad, Iran. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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