Femtosecond-assisted keratoplasty with fibrin glue-assisted sutureless posterior chamber lens implantation: new triple procedure

J Cataract Refract Surg. 2009 Jun;35(6):973-9. doi: 10.1016/j.jcrs.2008.12.049.

Abstract

We report a surgical technique for managing bullous keratopathy secondary to anterior chamber intraocular lens (AC IOL). The technique comprises femtosecond laser-assisted penetrating keratoplasty and AC IOL exchange with fibrin glue-assisted sutureless posterior chamber intraocular lens (PC IOL) implantation ("glued IOL"). This new triple procedure combines the unique benefits of the femtosecond laser and the glued IOL, leading to stable wound configuration, decreased open-sky time, and less pseudophacodonesis, and there is less risk for the suture-related complications of transscleral suture fixation.

MeSH terms

  • Adult
  • Aged
  • Anterior Chamber / surgery
  • Corneal Diseases / etiology
  • Corneal Diseases / surgery*
  • Device Removal
  • Female
  • Fibrin Tissue Adhesive / therapeutic use*
  • Humans
  • Keratoplasty, Penetrating / methods*
  • Lasers, Excimer / therapeutic use*
  • Lens Implantation, Intraocular / adverse effects
  • Lens Implantation, Intraocular / methods*
  • Lenses, Intraocular / adverse effects
  • Male
  • Suture Techniques
  • Tissue Adhesives / therapeutic use*
  • Wound Healing

Substances

  • Fibrin Tissue Adhesive
  • Tissue Adhesives