Open AccessPhacoemulsification after penetrating keratoplasty with autologous limbal transplant and amniotic membrane transplant in chemical burns
Author(s) -
Ritu Arora,
Raja Narayanan,
Shyama Jain,
Usha K Raina,
Mehta Dk
Publication year - 2005
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.16176
Subject(s) - medicine , phacoemulsification , surgery , visual acuity , ophthalmology , transplantation , corneal transplantation , intraocular lens
We report a patient who had earlier penetrating keratoplasty with amniotic membrane transplant and autologous limbal cell transplant for chemical injury who underwent cataract surgery by phacoaspiration. A posterior limbal incision with corneal valve was made superotemporally with extreme caution to avoid damage to the limbal graft. Aspiration flow rates and vacuum were kept low to avoid any turbulence during surgery. A 6.0 mm optic diameter acrylic foldable intraocular lens was inserted in the bag. The patient achieved a best-corrected visual acuity of 6/12 at 10 months' follow-up with a clear corneal graft. We conclude that caution during wound construction and phacoaspiration can help preserve corneal and limbal graft integrity in patients undergoing cataract surgery after corneal graft and limbal transplantation.