ONE CORNEA TWO RECIPIENTS: FEEDING TWO BIRDS WITH ONE SCONE

Received 2022-03-06; Accepted 2022-06-27; Published 2023-01-27

Authors

  • Sujaya Singh
  • Reena Kaur
  • Marium Jamaluddin
  • Azida Juana

DOI:

https://doi.org/10.22452/jummec.vol26no1.2

Keywords:

DSEK, patch graft, transplant, pseudophakic bullow keratopathy, limbal dermoid

Abstract

The existing shortage of local donor corneas in our institution (University Malaya) and Malaysia, in general, prompted us to attempt the use of one donor cornea for two transplantation procedures; Descemet Stripping Endothelial Keratoplasty (DSEK) in a case of a pseudophakic bullous keratopathy (PBK) with underlying Fuchs endothelial dystrophy (FED) and lamellar patch graft in a case of limbal dermoid. The donor cornea was divided into anterior and posterior lamellae manually. The anterior corneal button was used as a patch graft for anterior lamellar keratoplasty in a 6-year-old patient with limbal dermoid, and the posterior corneal button was used for a DSEK procedure in a 68-year-old patient with corneal decompensation. Both patients had a stable and good visual outcome throughout a 1-year postoperative period. This allows the use of one corneal tissue by more than one recipient to overcome the shortage in donor corneas.

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Published

2023-01-27

Issue

Vol. 26 No. 1 (2023)

Section

Research article

License

All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia.