Published date: Oct 25 2020

Journal Title: Journal of Ophthalmic and Vision Research

Issue title: October–December 2020, Volume 15, Issue 4

Pages: 571 – 573

DOI: 10.18502/jovr.v15i4.7795

Mehran Zarei-GhanavatiTranslational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran

Mahmood DavoodabadiTranslational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran

Ahad Shahbaziahadshahbazi@yahoo.comTranslational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran

Purpose: To describe a novel technique of amniotic membrane (AM) patch graft in the management of double chamber treatment after big-bubble deep anterior lamellar keratoplasty (DALK).

Case Report: A 35-year-old male patient with advanced keratoconus underwent bigbubble DALK. Manual lamellar dissection was done due to failed big-bubble. First-day postoperative double chamber was detected. Air bubbling and SF6 injection were tried without any success. Double chamber resolved by fixation of AM transplantation patch graft (1 × 1 mm) over the Descemet’s membrane perforation with fibrin glue.

Conclusion: Amniotic membrane patch graft can be used in the management of double chamber after DALK not responsive to intracameral gas injection.

Keywords: Amniotic Membrane, DALK, Descemet Perforation, Double Chamber

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