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Published on: September 12, 2014
Amniotic Membrane Patch Graft in Management of Double Chamber after Deep Anterior Lamellar Keratoplasty
Mehran Zarei-Ghanavati1, Mahmood Davoodabadi1, Ahad Shahbazi1
1Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Purpose:
To describe a novel technique of amniotic membrane (AM) patch graft in the management of double chamber treatment after big-bubble deep anterior lamellar keratoplasty (DALK).
Case Report:
A 35-year-old male patient with advanced keratoconus underwent big-bubble DALK. Manual lamellar dissection was done due to failed big-bubble. First-day postoperative double chamber was detected. Air bubbling and SF6 injection were tried without any success. Double chamber resolved by fixation of AM transplantation patch graft (1 1 mm) over the Descemet's membrane perforation with fibrin glue.
Conclusion:
Amniotic membrane patch graft can be used in the management of double chamber after DALK not responsive to intracameral gas injection.
