Tectonic Penetrating Keratoplasty

Tectonic Penetrating Keratoplasty

This 71 year old male was brought in with a corneal melt, due to ulcer in the graft, in his only seeing eye(other eye was phthisical). On examination, there was nearly complete melt of the corneal graft. The IOL was lying exposed on the ocular surface. Initially it looked like it would be nearly impossible to salvage the eye. An emergency tectonic/therapeutic penetrating keratoplasty with a large donor tissue was carried out. Fortunately, the graft took up well and now after 6 months the patient is ambulatory enough to carry out most of his daily work by himself. The vision is limited to a large extent by the presence of a large macular hole which was diagnosed once the cornea cleared up.
This case teaches us to never give up no matter how grave the situation appears. Every eye deserves a chanceā€¦