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Surgical Treatment of Anterior Synechiae Before and After Keratoplasty

Surgical Treatment of Anterior Synechiae Before and After Keratoplasty Abstract In cases of corneal opacity when the iris is adherent to the opacity and a corneal transplantation will eventually be indicated, it is advisable to free the iris from the cornea before the keratoplasty is performed. If this is done the keratoplasty can be performed later without causing further trauma to the iris, thus preventing such additional complications as hemorrhages and traumatic inflammation of the iris during the postoperative recovery period. The following maneuver may be used to treat an anterior synechia surgically if it is not too extensive: A slanting incision is made with a 1.0 mm wide Wheeler discission knife, starting 1.0 or 2.0 mm outside the limbus and entering the anterior chamber on the temporal side of the anterior synechia (Fig 1A). The knife is then withdrawn and a spatula, 15.0 mm long and 0.5 mm wide, with blunt edges (Fig 1C) is introduced into References 1. Castroviejo, R.: Symposium: Corneal Transplantation: III. Complications , Trans Amer Acad Ophthal Otolaryng 52:322-330 ( (March-April) ) 1948. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Surgical Treatment of Anterior Synechiae Before and After Keratoplasty

Archives of Ophthalmology , Volume 72 (2) – Aug 1, 1964

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Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1964.00970020240020
Publisher site
See Article on Publisher Site

Abstract

Abstract In cases of corneal opacity when the iris is adherent to the opacity and a corneal transplantation will eventually be indicated, it is advisable to free the iris from the cornea before the keratoplasty is performed. If this is done the keratoplasty can be performed later without causing further trauma to the iris, thus preventing such additional complications as hemorrhages and traumatic inflammation of the iris during the postoperative recovery period. The following maneuver may be used to treat an anterior synechia surgically if it is not too extensive: A slanting incision is made with a 1.0 mm wide Wheeler discission knife, starting 1.0 or 2.0 mm outside the limbus and entering the anterior chamber on the temporal side of the anterior synechia (Fig 1A). The knife is then withdrawn and a spatula, 15.0 mm long and 0.5 mm wide, with blunt edges (Fig 1C) is introduced into References 1. Castroviejo, R.: Symposium: Corneal Transplantation: III. Complications , Trans Amer Acad Ophthal Otolaryng 52:322-330 ( (March-April) ) 1948.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Aug 1, 1964

References