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Radhika Natarajan, MD, and Madhuvanthi Mohan, MD
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Therapeutic penetrating keratoplasty is a crucial eye-saving surgical procedure used to treat unresponsive corneal infections. In this video, surgeons review intraoperative challenges such as deceptive size of infiltration because of anterior chamber exudation, trephining in severely thinned out tissue, cheese wiring of sutures along an inflamed host bed, and infections extending beyond the limbus, among other things.
Strategies to mitigate these risks and improve overall intraoperative difficulties are presented, including making a conjunctival peritomy to facilitate peripheral suturing, clearing the anterior chamber of exudation before measuring the infiltrate size, use of temporary Cyanoacrylate glue before trephination, guarded trephination when required, and overcoming suturing problems.
Posted: 11/18/2024
Radhika Natarajan, MD, and Madhuvanthi Mohan, MD
Therapeutic penetrating keratoplasty is a crucial eye-saving surgical procedure used to treat unresponsive corneal infections. In this video, surgeons review intraoperative challenges such as deceptive size of infiltration because of anterior chamber exudation, trephining in severely thinned out tissue, cheese wiring of sutures along an inflamed host bed, and infections extending beyond the limbus, among other things.
Strategies to mitigate these risks and improve overall intraoperative difficulties are presented, including making a conjunctival peritomy to facilitate peripheral suturing, clearing the anterior chamber of exudation before measuring the infiltrate size, use of temporary Cyanoacrylate glue before trephination, guarded trephination when required, and overcoming suturing problems.
Posted: 11/18/2024
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