Split cornea transplantation in anterior lamellar keratoplasty for limbal dermoid surgery: a case report

  • Dewinta Retno Kurniawardhani Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Syska Widyawati Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia https://orcid.org/0000-0002-7119-5250
  • Rio Rhendy Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Evelina Kodrat Department of Pathological Anatomy, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
DOI: https://doi.org/10.13181/mji.cr.236824
Keywords: cornea transplantation, dermoid cyst, host-graft reaction, keratoplasty, lamellar
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Abstract

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.

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Published
2023-08-04
How to Cite
1.
Kurniawardhani DR, Widyawati S, Rhendy R, Kodrat E. Split cornea transplantation in anterior lamellar keratoplasty for limbal dermoid surgery: a case report. Med J Indones [Internet]. 2023Aug.4 [cited 2024May17];32(1):58-3. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/6824
Issue
Vol. 32 No. 1 (2023): March
Section
Case Report/Series

Copyright (c) 2023 Dewinta Retno Kurniawardhani, Syska Widyawati, Rio Rhendy, Evelina Kodrat

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