Simultaneous tectonic Descemet stripping endothelial keratoplasty and tectonic Bowman layer transplant for the management of corneal perforation

AIM: To report the outcomes of three cases corneal perforation managed with simultaneous tectonic Descemet stripping endothelial keratoplasty (t-DSEK) and Bowman layer transplant (t-BLT) as an alternative to penetrating (t-PKP). METHODS: Three eyes patients receiving t-DSEK t-BLT for were included. The technique DSEK was modified depending on individual requirements. standardised using 8 mm graft fixated a running suture. Success measured by ability this procedure close perforation. RESULTS: All achieved eye globe restoration remained stable during minimum 3-month observation period. Reinterventions relatively common: 2 required amniotic membrane persistent epithelial defects. One case rebubbling. developed angle closure glaucoma requiring surgical peripheral iridectomy. CONCLUSION: Simultaneous may be useful strategy management t-PKP selected cases.