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Tectonic Lamellar Keratoplasty Using Cryopreserved Cornea in a Large Descemetocele

DC FieldValueLanguage
dc.contributor.author김강윤-
dc.contributor.author김응권-
dc.contributor.author김태임-
dc.contributor.author서경률-
dc.date.accessioned2017-02-24T03:07:17Z-
dc.date.available2017-02-24T03:07:17Z-
dc.date.issued2016-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146248-
dc.description.abstractWe describe herein a case of an impending corneal perforation with a large descemetocele in a patient with previous penetrating keratoplasty (PKP) that subsequently was treated with an emergent lamellar keratoplasty using frozen preserved cornea. A 76-year-old male patient, who had a PKP, presented with a completely whitish and edematous graft accompanied by large epithelial defects. Although antibiotics and antiviral agents were tried for three days, the corneal stroma abruptly melted, except for the Descemet's membrane and endothelium. Cryopreserved corneal tissue that was kept at -80°C was thawed and sutured on top of the remaining Descemet's membrane and endothelium. Pathological and microbiological tests were conducted using the remaining donor and recipient corneal tissues. After tectonic corneal transplantation on top of a large descemetocele, a healthy graft and relatively clear interfaces between graft-host junctions were maintained without serious adverse reactions throughout 6 month follow-up period. Microbiological evaluations of donor tissue at the time of thawing and tissue preparation were done, and the results were all negative. Tissue that was taken intraoperatively from the recipient cornea also showed negative microbiological results. In conclusion, tectonic lamellar keratoplasty, using cryopreserved corneal tissue, only onto the remaining Descemet's membrane and endothelium in an emergent condition, was a safe and effective treatment.-
dc.description.statementOfResponsibilityopen-
dc.format.extent269~271-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCornea/surgery*-
dc.subject.MESHCorneal Perforation/pathology-
dc.subject.MESHCorneal Perforation/physiopathology-
dc.subject.MESHCorneal Perforation/surgery*-
dc.subject.MESHCorneal Transplantation/methods*-
dc.subject.MESHCryopreservation*-
dc.subject.MESHEye Injuries, Penetrating/pathology-
dc.subject.MESHEye Injuries, Penetrating/physiopathology-
dc.subject.MESHEye Injuries, Penetrating/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHKeratoplasty, Penetrating-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHTissue Donors*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVisual Acuity-
dc.titleTectonic Lamellar Keratoplasty Using Cryopreserved Cornea in a Large Descemetocele-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Ophthalmology-
dc.contributor.googleauthorKang Yoon Kim-
dc.contributor.googleauthorJi Won Jung-
dc.contributor.googleauthorEung Kweon Kim-
dc.contributor.googleauthorKyoung Yul Seo-
dc.contributor.googleauthorTae-im Kim-
dc.identifier.doi10.3349/ymj.2016.57.1.269-
dc.contributor.localIdA04513-
dc.contributor.localIdA00831-
dc.contributor.localIdA01080-
dc.contributor.localIdA01870-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid26632412-
dc.subject.keywordTectonic keratoplasty-
dc.subject.keywordcryopreserved cornea-
dc.subject.keyworddescemetocele-
dc.contributor.alternativeNameKim, Kang Yoon-
dc.contributor.alternativeNameKim, Eung Kweon-
dc.contributor.alternativeNameKim, Tae Im-
dc.contributor.alternativeNameSeo, Kyuong Yul-
dc.contributor.affiliatedAuthorKim, Kang Yoon-
dc.contributor.affiliatedAuthorKim, Eung Kweon-
dc.contributor.affiliatedAuthorKim, Tae Im-
dc.contributor.affiliatedAuthorSeo, Kyuong Yul-
dc.citation.volume57-
dc.citation.number1-
dc.citation.startPage269-
dc.citation.endPage271-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.57(1) : 269-271, 2016-
dc.date.modified2017-02-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers

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