Split cornea transplantation in anterior lamellar keratoplasty for limbal dermoid surgery: a case report

Medical Journal of Indonesia

article

Dewinta Retno Kurniawardhani¹  Syska Widyawati¹  RioRhendy¹  Evelina Kodrat² 

[1] Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital;Department of Pathological Anatomy, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital

关键词: cornea transplantation;    dermoid cyst;    host-graft reaction;    keratoplasty;    lamellar;   

DOI  :  10.13181/mji.cr.236824

学科分类：社会科学、人文和艺术（综合）

来源: Faculty of Medicine Universitas Indonesia

【 摘 要 】

Limbal dermoid is a rare congenital lesion that can impair vision and raise aesthetic concerns. Surgery is frequently required to reduce discomfort and enhance visual outcomes. A 20-year-old woman presented with a limbal dermoid measuring 4.5 mm in diameter and half the depth of the stroma. Excision was performed with anterior lamellar keratoplasty (ALK) using a post-Descemet's membrane endothelial keratoplasty graft, which resulted in signs of graft failure. Re-surgery was then performed with post-Descemet's stripping endothelial keratoplasty graft. It yielded a clear graft with good visual acuity. The first corneal graft utilized 95% of the graft thickness to cover 55% of the defect, leading to poor host-donor apposition. The second graft employed 55–65% to cover the same portion of the defect. The proportional thickness of the graft is crucial for a successful ALK. Split cornea transplantation produces respectable results; however, the corneal thickness must be carefully considered.

【 授权许可】

CC BY-NC