Lamellar corneal dissection for visualization of the anterior chamber before triple procedure

  title={Lamellar corneal dissection for visualization of the anterior chamber before triple procedure},
  author={Neda Ardjomand and Peter Fellner and Melike Nalbant Moray and Christina Wohlfart and James C. McAlister and Yosuf El-Shabrawi},
PurposeOpen-sky cataract extraction during triple procedure can be associated with higher risk of complications owing to the missing counterbalance by the cornea. Herein, we present a fast and easy technique for visualization of the anterior chamber and the lens in eyes with opaque corneas planed for triple procedure.Materials and methodsFour patients with corneal oedema due to Fuchs' endothelial dystrophy and cataract underwent triple procedure. As the anterior chamber view was limited, the… Expand
Modifying the Position of Cataract Incisions in Triple Procedure
A surgical technique for enhancing the visualization of the lens capsule by lamellar corneal dissection and performing phacoemulsification through the partially trephined recipient bed in eyes undergoing penetrating keratoplasty combined with cataract surgery is presented. Expand
Stabilized triple procedure for management of coexisting corneal opacity and cataract
&NA; We describe a surgical technique combining penetrating keratoplasty and cataract surgery with a secure anterior chamber to manage coexisting corneal opacity and cataract. Lamellar cornealExpand
Evaluation of an interlaced triple procedure: penetrating keratoplasty, extracapsular cataract extraction, and nonopen-sky intraocular lens implantation
Neither the best-corrected visual acuity (BCVA nor corneal endothelial cell density was significantly different between the groups at 1 and 6 months after the operation. Expand
"Iris-assisted," open-sky, continuous curvilinear capsulorhexis technique for combined cataract extraction and corneal transplantation.
  • E. Kim, N. Kang, G. Bonfadini, A. Jun
  • Medicine
  • Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
  • 2012
"iris-assisted," open-sky, continuous curvilinear capsulorhexis (CCC) in a triple procedure combining corneal transplantation, cataract extraction, and intraocular lens implantation, which are facilitated by the CCC in a closed system. Expand
Real-Time Microscope-Integrated OCT to Improve Visualization in DSAEK for Advanced Bullous Keratopathy
Graft insertion, unfolding, tamponade, and attachment could be dynamically visualized intraoperatively despite the nearly opaque nature of the host corneas, allowing for DSAEK to be successfully performed even when the surgical microscope view is limited from severe corneal edema, as is often the case in patients with advanced bullous keratopathy. Expand
Anterior Synechiolysis with Healon Needle and Ophthalmic Viscosurgical Devices after Anterior Lamellar Dissection in Penetrating Keratoplasty
Abstract Purpose: We described a technique to perform anterior synechiolysis with a healon needle and Viscoat® ophthalmic viscosurgical devices (OVDs) through anterior lamellar dissection inExpand
Cataract surgery in patients with corneal disease
How corneal epithelial, stromal and endothelial disease may impact and be impacted by cataract surgery is described while highlighting recommendations for perioperative management and surgical technique. Expand
Clinical Applications of Limbal Stem Cells for Regenerative Medicine
Clinical approaches to ocular surface stem cell transplantation that have been developed over the last 30 years are reviewed, including autograft and allograft techniques currently in clinical practice, and the challenges associated with systemic immunosuppression when required. Expand


Closed‐system and open‐sky capsulorhexis for combined cataract extraction and corneal transplantation
A triple procedure combining corneal transplantation, cataract extraction, and intraocular lens implantation in which the continuous curvilinear capsulorhexis (CCC) is performed in a closed system or using an open‐sky method when cornea transparency is poor. Expand
Closed-system phacoemulsification and posterior chamber implant combined with penetrating keratoplasty.
The advantage of the technique is that it effectively precludes the above mentioned intraoperative complications, which could affect late results. Expand
Temporary graft for closed‐system cataract surgery during corneal triple procedures
This technique was effective in 3 patients with cataract and dense corneal opacity and was proposed to allow phacoemulsification and foldable intraocular lens implantation through aCorneal tunnel. Expand
Combined surgery with deep lamellar keratoplasty
  • T. Senoo
  • Medicine
  • Seminars in ophthalmology
  • 2001
The use of DLK will make it possible to perform surgery on urgent vitreoretinal diseases with corneal opacity and cataract, and the advantages and disadvantages of these types of operation are described. Expand
Keratoplasty and intraocular lenses.
In those with pre-existing corneal disease not requiring keratoplasty including one instance of Fuch's Corneal Dystrophy, there was no change inCorneal status as a result of implantation surgery. Expand
Keratoplasty and intraocular lenses: follow-up study.
In an effort of explore new approaches with the possibility of improving on existing methods of managing problem cases with combined corneal disease and cataracts, 35 patients were treated byExpand
Open-sky capsulorrhexis in triple procedure: with or without trypan blue?
Trypan blue staining of the anterior capsule during triple procedure helps the surgeon perform open-sky capsulorrhexis more easily and safely and in proper dimensions, provides positive effects on the other steps of the surgery, and decreases the rate of posterior capsule tear formation. Expand
[Triple procedure with phacoemulsification prior to grafting].
A surgical technique which combines phacoemulsification and posterior chamber in the bag intra-ocular lens implantation before penetrating keratoplasty is reported, which seems to be safer during cataract extraction. Expand
Hyperopic automated lamellar keratoplasty: complications and visual results.
Based on this study, the long-term instability of H-ALK and the high incidence of iatrogenic keratoconus following the procedure should discourage its use, especially for consecutive hyperopia following radial keratotomy. Expand
Combined penetrating keratoplasty, extracapsular cataract extraction, and posterior chamber lens implantation.
A retrospective chart review of 18 consecutive unselected cases of combined penetrating keratoplasty, extracapsular cataract extraction, and posterior chamber lens implantation was performed.Expand