• DOI:10.3928/15428877-20100215-41
• Corpus ID: 40808463

Transpositional Autokeratoplasty in a Patient with Unilateral Choroidal Melanoma and Contralateral Exposure Keratopathy.

@article{Mehta2010TranspositionalAI,
  title={Transpositional Autokeratoplasty in a Patient with Unilateral Choroidal Melanoma and Contralateral Exposure Keratopathy.},
  author={Hemal Mehta and John L. Hungerford and David S. Gartry and Helen Mary Herbert and Prithvi Mruthyunjaya},
  journal={Ophthalmic surgery, lasers \& imaging : the official journal of the International Society for Imaging in the Eye},
  year={2010},
  pages={
          1-3
        }
}

• H. Mehta, J. Hungerford, +2 authors P. Mruthyunjaya
• Published 9 March 2010
• Medicine
• Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye

Penetrating keratoplasty was required to improve corneal clarity in the left eye, which had suffered chronic exposure keratopathy following a cerebellopontine angle tumor with facial nerve involvement. The right eye had a large choroidal melanoma, which had failed brachytherapy, but the cornea was transparent and healthy. The right eye corneal button was sutured to the left eye host and a donor corneal button was sutured to the right eye rim. The right eye was subsequently enucleated. Two years later, the patient had 6/12 visual acuity with a clear graft and no tumor seeding in the host eye. Although limited opportunities arise to employ transpositional autokeratoplasty, where appropriate, it offers an alternative to conventional allokeratoplasty with a lower risk of immune rejection.