Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 32 No.1 2023
Split cornea transplantation in anterior lamellar keratoplasty for limbal dermoid surgery: a case report

Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 32 No.1 2023
Split cornea transplantation in anterior lamellar keratoplasty for limbal dermoid surgery: a case report

cornea transplantation, dermoid cyst, host-graft reaction, keratoplasty,
lamellar

Limbal dermoid is a rare congenital lesion that can impair vision and raise aesthetic concerns. Surgery is frequently required to reduce discomfort and enhance visual outcomes. A 20-year-old woman presented with a limbal dermoid measuring 4.5 mm in diameter and half the depth of the stroma. Excision was performed with anterior lamellar keratoplasty (ALK) using a post-Descemet's membrane endothelial keratoplasty graft, which resulted in signs of graft failure. Re-surgery was then performed with post-Descemet's stripping endothelial keratoplasty graft. It yielded
a clear graft with good visual acuity. The first corneal graft utilized 95% of the graft thickness to cover 55% of the defect, leading to poor host-donor apposition. The second graft employed 55–65% to cover the same portion of the defect. The proportional thickness of the graft is crucial for a successful ALK. Split cornea transplantation produces respectable results; however, the corneal thickness must be carefully considered.

Dewinta Retno Kurniawardhani, Syska Widyawati, Rio Rhendy, Evelina Kodrat

https://doi.org/10.13181/mji.cr.236824

February 28, 2023

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