Anterior Segment Optical Coherence Tomography-guided Diagnosis and Management of Late Graft Dehiscence Post Tuck-in Lamellar Keratoplasty
The purpose of the study was to describe the management of graft host separation in an operated case of tuck-in lamellar keratoplasty (TILK) for pellucid marginal degeneration in a young male guided by anterior segment optical coherence tomography (AS-OCT). TILK as a procedure has several advantages...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/DLJO.DLJO_23_24 |
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| Summary: | The purpose of the study was to describe the management of graft host separation in an operated case of tuck-in lamellar keratoplasty (TILK) for pellucid marginal degeneration in a young male guided by anterior segment optical coherence tomography (AS-OCT). TILK as a procedure has several advantages over full-thickness penetrating keratoplasty. In this case, a TILK was performed, which underwent undesired wound dehiscence a few weeks postsuture removal, which was managed successfully with the help of AS-OCT-guided suturing and gas tamponade. Suture removal post-TILK should be done with utmost care and precision after 6 months postsurgery, preferably guided by ASOCT after assessing the graft host apposition. |
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| ISSN: | 0972-0200 2454-2784 |