Open AccessEndothelial keratoplasty combined with cataract surgery or alone using polyethylene glycol hydrogel sealant for closure of corneal incisions
Author(s) -
Oriel Spierer,
Terrence P. O’Brien
Publication year - 2015
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1016/j.jcrs.2015.02.002
Subject(s) - medicine , fibrous joint , surgery , sealant , cataract extraction , cataract surgery , ophthalmology , cornea , corneal transplantation , polyethylene glycol , intraocular lens , materials science , composite material , chemical engineering , engineering
We present a surgical technique in which polyethylene glycol hydrogel is used to seal corneal incisions and maintain air in the anterior chamber. This technique was used in 11 eyes that had Descemet-stripping endothelial keratoplasty (DSEK). In 2 cases, DSEK was combined with cataract extraction and intraocular lens implantation. In all cases, the anterior chamber was well formed with no leakage and the donor graft remained attached following surgery. The use of polyethylene glycol hydrogel in DSEK and combined DSEK-cataract surgery may shorten surgery, decrease suture-induced corneal astigmatism, and prevent the need for suture removal.