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Management of dislocated nucleus with corneal opacity by combined deep anterior lamellar keratoplasty, pars- plana vitrectomy and phaco-fragmentation.
Karkhur, Samendra; Sen, Alok; Parmar, Gautam; Bhatia, Priyavrat.
Afiliação
  • Karkhur S; Vitreo-Retina and Uvea Services, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India.
  • Sen A; Vitreo-Retina and Uvea Services, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India.
  • Parmar G; Department of Cornea and Refractive Surgery, Shri Sadguru Seva Sangh Trust Chitrakoot Centre, Chitrakoot, Madhya Pradesh, India.
  • Bhatia P; Vitreo-Retina and Uvea Services, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India.
BMJ Case Rep ; 12(6)2019 Jun 18.
Article em En | MEDLINE | ID: mdl-31217213
A 32-year-old man presented with bilateral diminution of vision for 10 years. Visual acuity was light perception in both eyes with inaccurate projection in the oculus dextrus(OD) and accurate projection in the in oculus sinister (OS). Intraocular pressure was 6 and 12 mm Hg in the OD and OS, respectively. Slit-lamp examination revealed the presence of leucomatous corneal opacification with microcornea in oculus uterque (OU). Both eyes had a dislocated nucleus in the vitreous cavity on ultrasound B-scan with advanced cupping in the right eye. Ultrasound biomicroscopy revealed ciliary body atrophy in the OD and preserved ciliary processes (two quadrants) in the OS. In view of a partially preserved ciliary body function and a potential for gaining useful vision, we planned surgical intervention in the left eye. Deep anterior lamellar keratoplasty with pars planavitrectomy (PPV) and phacofragmentation of the nucleus was done. Donor lamellar graft was sutured after completion of PPV and nucleus fragmentation. The patient regained useful ambulatory vision postoperatively with clear corneal graft.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vitrectomia / Ceratoplastia Penetrante / Facoemulsificação / Opacidade da Córnea / Pressão Intraocular Limite: Adult / Humans / Male Idioma: En Revista: BMJ Case Rep Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Índia

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vitrectomia / Ceratoplastia Penetrante / Facoemulsificação / Opacidade da Córnea / Pressão Intraocular Limite: Adult / Humans / Male Idioma: En Revista: BMJ Case Rep Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Índia