Total keratoplasty in peripheral corneal degeneration

A case of total penetrating homologous keratoplasty with excellent visual improvement is reported. The postoperative course was remarkably uneventful. Sodium Hyaluronate (Healon) was used at the time of surgery. We believe that the use of Healon facilitated the intraoperative procedure and eliminated peripheral anterior synechiae with associated secondary glaucoma. The graft remained entirely clear during the 13 months of postoperative observation. The tension was below 14 mm Hg. The visual acuity improved to 20/20.