The cornea remains in a state of deturgescence, maintained by endothelial cell Na+/K+ ATPase and by tight junctions between endothelial cells that limit entrance of fluid into the stroma. Fuchs' endothelial corneal dystrophy (FECD) was initially described by Fuchs in 1910 as a combination of epithelial and stromal edema in older patients. It manifests as bilateral, albeit asymmetric, central co...

PURPOSE This study was carried out to see the results of glycerol-preserved cornea (GPC) in emergency situation when fresh corneal tissue was not available. The aim was to study the outcome of corneal transplantation using GPC. METHODS This was a retrospective study. The medical records of all the patients were reviewed, who underwent keratoplasty using "GPC" during the period from October 20...

We describe a technique for performing deep lamellar keratoplasty using viscoelastic dissection. Deep lamellar dissections of the cornea using viscoelastic substances (sodium hyaluronate) were performed on 4 eyes of 4 patients. One patient with keratoconus and another with corneal scarring underwent lamellar keratoplasty using the technique as the sole procedure for visual rehabilitation. Two p...

OBJECTIVE To describe the use of a single donor corneal tissue in 3 patients with corneal pathologic conditions. METHODS A donor corneal tissue was divided into 3 parts using a microkeratome and a trephine. The anterior lamellar disc was transplanted into a patient with macular corneal dystrophy using the automated lamellar therapeutic keratoplasty technique. The posterior lamellar disc was t...

DeepVein Thrombosis FollowingDescemet Stripping Automated Endothelial Keratoplasty Venous thromboembolism is the secondmost commonmedical complication after surgery.1 The risk factors for development of deepvein thrombosis (DVT) include age, obesity, and diabetesmellitus.1Deepvein thrombosis associatedwithophthalmic surgery, specifically vitreoretinal surgery, has been reported.2 Descemet strip...

PURPOSE To determine the leading indication for penetrating keratoplasty. MATERIAL AND METHOD The authors retrospectively performed a chart review of the hospital records of all patients who underwent penetrating keratoplasty at Maharaj Nakorn Chiang Mai Hospital between January 1996 and December 1999. RESULTS A total of 45 corneal transplants were performed. The leading indications for pen...

Keratoconus is a bilateral non-inflammatory corneal ectasia with an incidence of approximately one per 2000 in the general population. Contact lenses are the most common treatment. When contact lenses fail, a surgical approach is necessary for visual rehabilitation. Penetrating keratoplasty has been the traditional and most common mode of treatment and has excellent results. 3 However, more rec...

Keratoplasty is considered the most successful organ transplantation procedure in the world. Reisinger was the first to use the term keratoplasty (Reisinger, 1824), when he suggested using an animal’s eye to provide donor corneal tissue for corneal transplantation in a human. In 1906, the first successful penetrating keratoplasty was performed by Edward Konrad Zirm on a patient suffering from b...

OBJECTIVE To report the results of penetrating keratoplasty performed by residents. METHOD A retrospective medical record review of all patients undergoing penetrating keratoplasty performed by residents at our institution from April 1998 to April 2002. RESULTS Forty penetrating keratoplasty procedures were performed by 8 residents. The most common indication was keratoconus (17 eyes [43%])...