Video Presentation

Endoscopic vitrectomy and penetrating keratoplasty

Video Details

First Author: J. L.Olea SPAIN

Co Author(s):    M. Gomez-Resa   J. A. Aragon                          

Abstract Details



Purpose:

To perfom a combined surgery: Endoscopic vitrectomy and Penetrating Keratoplasty in a patient with two previous failed keratoplasties and a amniotic membrane transplantation..

Setting:

Ophthalmology Department of Hospital Son Espases, Palma de Mallorca, Spain.

Methods:

A 75-year-old female with ptisis bulbi in the right eye and with two previous failed keratoplasties and a amniotic membrane transplantation, presented sudden loss vision in the left eye (single eye) Ocular echography showed diffuse vitreous opacities and posterior vitreous detachment . After a peribulbar anesthesia, two valved 23 G cannulas and a 19 G esclerotomies were performed. A endoscopic central and peripheral assisted pars plana vitrectomy was done. Corneal surgeon started with the penetrating keratoplasty. The endoscopic assisted vitrectomy allows, him to use the diameter of the trephine based on the size of the previous keratoplasties.

Results:

After surgery, the patient was able to recover vision. Cornea and vitreous remained transparent.

Conclusions:

A combined endoscopic assisted vitrectomy and penetrating keratoplasty is a good option in some cases with vitreous and corneal opacities

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