Simultaneous Vitreoretinal Surgery and Penetrating Keratoplasty without a Keratoprosthesis or Endoscopy for Vitreoretinal Disease Associated with Corneal Opacity

Simultaneous Vitreoretinal Surgery and Penetrating Keratoplasty without a Keratoprosthesis or Endoscopy for Vitreoretinal Disease Associated with Corneal Opacity

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We evaluated the visual outcome of combined penetrating keratoplasty (PKP) and 25G pars plana wd80efzx vitrectomy (PPV) performed without a temporary keratoprosthesis or endoscopy in a patient with vitreoretinal disease complicated by severe corneal opacity.The patient was a 68-year-old woman who had severe corneal opacity and silicone oil in her left eye after several previous intraocular surgeries for rhegmatogenous retinal detachment and proliferative vitreoretinopathy.We successfully performed a combined surgery of conventional PKP followed by 25G PPV without the use of a keratoprosthesis.

At 6 months after surgery, visual acuity had not improved, and the density of corneal endothelial cells of the donor cornea had declined from ford tridon 3,205 to 1,969 cells/mm2.However, corneal transparency remained good, and additional surgery for vitreoretinal disease was not necessary.The combined surgical procedure designed to minimize the number of open-sky steps and to limit vitreoretinal complications thus proved to be safe and achieved stable corneal clarity in a patient with vitreoretinal disease and severe corneal opacity.