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Biological encirclage-Traboulsi syndrome
Abhijeet Beniwal1, Rahul Kumar Bafna2, Prakhyat Roop3
1Department of Ophthalmology, Dr. RP Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
Indian Journal of Ophthalmology
|June 21, 2024
Summary
This study presents a novel surgical technique for Traboulsi syndrome, a rare disorder. The innovative approach successfully restored ambulatory vision using a biological corneal graft for encirclage.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Genetics
Background:
- Traboulsi syndrome is a rare, sporadic autosomal recessive disorder.
- Few cases have been reported, with no established surgical treatment.
- Characterized by spontaneous filtering blebs and often presents with anterior segment abnormalities.
Observation:
- A 31-year-old female patient presented with Traboulsi syndrome, featuring a flat anterior chamber and a large intercalary staphyloma with lens subluxation.
- Surgical intervention involved addressing the staphyloma, repositioning the lens, and utilizing a modified corneal graft.
Findings:
- A novel surgical technique was employed, including the use of a cross-linked corneal graft shaped to the limbus.
- Wedge-shaped defects were created in the graft to increase arc radius, and it was secured with a peripheral flange.
- The cornea was utilized as a biological encirclage, sutured around the globe for structural support.
Implications:
- This technique offers a potential new surgical treatment for Traboulsi syndrome.
- The use of corneal tissue as biological encirclage is a previously undescribed method.
- Successful restoration of ambulatory vision highlights the efficacy of this innovative approach.
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