Cornea · 2012 · 21 citations · 15 references
MedicineOphthalmologySurgeryMicrosurgeryOcular PathologyOphthalmic SurgeryCorneal PathologyCorneal TransplantationCorneal VascularizationCorneal Wound HealingAnterior Lamellar DefectsDescemet Membrane DetachmentDescemet Membrane DisordersDescemet Membrane RuptureFibrin BiomaterialsGraft DehiscenceKeratoconus SurgeryTissue Adhesive Use
PURPOSE: To report the use of fibrin glue to seal microperforations in Descemet membrane (DM) during deep anterior lamellar keratoplasty (DALK). METHODS: Two patients with keratoconus underwent DALK complicated by DM microperforation. Fibrin glue was successfully used to seal the microperforation in both cases. RESULTS: DM remained attached postoperatively in both cases, with no opacification, increased inflammation, or vascularization of the corneal stroma. CONCLUSIONS: The use of fibrin glue for managing microperforations in DALK may be a viable option.
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