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Volume 35, Issue 6, Pages 973-979 (June 2009)


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

Gaurav Prakash, MD, Soosan Jacob, MS, DNB, FRCS, Dhivya Ashok Kumar, MD, Smita Narsimhan, FERC, Athiya Agarwal, MD, DO, Amar Agarwal, MS, FRCS, FRCOphthCorresponding Author Informationemail address

Received 1 October 2008; received in revised form 30 November 2008; accepted 2 December 2008.

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.

From Dr Agarwal Eye Hospital and Eye Research Centre, Chennai, India

Corresponding Author InformationCorresponding author: Amar Agarwal, MS, FRCS, FRCOphth, Professor and Head, Dr Agarwal Eye Hospital and Eye Research Centre, 19, Cathedral Road, Chennai- 600 086, India.

 Amar Agarwal is a consultant to Abott Medical Optics (formerly Advanced Medical Optics), Irvine, California, USA. No other author has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(09)00289-2

doi:10.1016/j.jcrs.2008.12.049


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