Related Experiment Videos
Retrieval of a dropped corneal button from a vitrectomized eye
A Sharma1, P Gupta, K B Viswanadh
1Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ophthalmic Surgery and Lasers
|December 1, 2001
Summary
A dropped corneal button during penetrating keratoplasty in a vitrectomized eye was successfully retrieved. This case highlights a rare complication and its effective management for corneal surgeons.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Corneal Transplantation
Background:
- Penetrating keratoplasty is a common procedure for corneal diseases.
- Aphakic corneal edema can occur in eyes with prior vitrectomy.
- Vitrectomized eyes present unique surgical challenges during keratoplasty.
Observation:
- A donor corneal button was inadvertently dropped into the vitreous cavity during surgery.
- The dropped button was visualized by focusing the operating microscope on the retina.
- Fluid aspiration from the vitrectomized eye improved visualization of the corneal button.
Findings:
- Successful retrieval of the dropped corneal button using McPherson's forceps.
- The retrieved button was subsequently sutured to the recipient cornea.
- Accurate visualization is key to managing this complication.
Implications:
- Corneal surgeons must be aware of this rare complication in aphakic vitrectomized eyes.
- Effective visualization and retrieval techniques are crucial for successful outcomes.
- This case provides a valuable learning point for managing intraoperative challenges in keratoplasty.