Simultaneous Vitreoretinal Surgery and Penetrating Keratoplasty without a Keratoprosthesis or Endoscopy for Vitreoretinal Disease Associated with Corneal Opacity

Yoshimoto, Takuya; Yamada, Naoyuki; Higashijima, Fumiaki; Teranishi, Shinichiro; Kimura, Kazuhiro

doi:10.1159/000506589

Cited by 1 publication

(3 citation statements)

References 40 publications

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“…Simultaneous vitreous and corneal surgery should be considered when fundus visualization is sufficient to allow vitrectomy [ 23 ]. We have previously reported simultaneous PKP and PPV without the use of endoscopes and keratoprosthesis in a patient with severe corneal opacity and retinal disease [ 7 ] Intraoperative fundus visualization was good, the postoperative corneal graft remained transparent, and there was no recurrence of retinal disease [ 7 ]. In this case, intraoperative fundus visualization with a wide-angle viewing system through the corneoscleral graft was sufficient and did not interfere at all with the performance of vitreoretinal surgery.…”

Section: Discussionmentioning

confidence: 99%

“…As a safer and less invasive method, simultaneous vitrectomy with deep anterior lamellar keratoplasty [ 5 ] or Descemet Stripping Automated Endothelial Keratoplasty [ 6 ] has been reported. We have previously reported simultaneous 25G vitrectomy with PKP (Penetrating Keratoplasty) for the patient with vitreoretinal disease and severe corneal opacity [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Chandelier illumination improves anterior chamber visualization in cataract surgery with severe corneal opacity or vitreous hemorrhage [ 21 ]. The development of vitreoretinal surgical instruments has expanded the indications for microincisional vitrectomy for serious retinal diseases, such as proliferative diabetic retinopathy and proliferative vitreoretinopathy [ 7 ]. Here, we report a case of simultaneous SKP and 25-gauge pars plana vitrectomy (25G PPV) for keratoglobus with extensive corneal rupture and vitreous hemorrhage caused by trauma.…”

Section: Introductionmentioning

confidence: 99%

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Simultaneous Vitreoretinal Surgery and Sclerokeratoplasty for Keratoglobus with Intraocular Hemorrhage and Extensive Corneal Rupture

Higashijima¹,

Aoki²,

Mikuni³

et al. 2022

Case Rep Ophthalmol

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We reported a case of simultaneous vitrectomy and sclerokeratoplasty (SKP) performed for keratoglobus with extensive corneal rupture and intraocular hemorrhage caused by trauma. A 73-year-old woman was treated for keratoglobus and glaucoma. She was punched in both eyes, her right eye showed corneal rupture and the left eye showed prolapse of the ocular contents due to eyeball rupture. She immediately underwent corneal sutures in the right eye and resection of the prolapsed ocular contents in the left eye at a nearby ophthalmological clinic. Three days after the injury, the patient was referred to our clinic for vision recovery. The best corrected visual acuity of the right eye was measured by counting fingers. Her right eye presented severe corneal edema with a sutured corneal wound in the upper periphery, which was positive in the Seidel test. B-mode ultrasound revealed choroidal detachment and subchoroidal hemorrhage. Fourteen days after injury, simultaneous corneal suture and posterior sclerotomy were performed in the right eye, but corneal fragility and corneal opacity were prominent, and B-mode examination revealed prolonged vitreous hemorrhage and retinal detachment. Twenty-one days after injury, we performed simultaneous SKP and 25-G pars plana vitrectomy (PPV). In this procedure, we initially performed SKP followed by 25-G PPV without a keratoprosthesis or endoscope. The visibility of the fundus through the corneoscleral graft was good during vitrectomy. Three months after surgery, her corrected visual acuity improved to 10/1,000. Although there was mild corneal stromal edema and khodadoust line, there were no obvious fundus complications. Simultaneous SKP and PPV for keratoglobus with extensive corneal rupture and vitreous diseases may be a good option.

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Section: Discussionmentioning

confidence: 99%