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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 45-47

Deep anterior lamellar keratoplasty in advanced secondary lipid keratopathy

1 Department of Cornea, Anand Eye Institute, Hyderabad, Telangana, India
2 Vitreo Retina Services, Anand Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Anupama Kalwad
Department of Cornea, Anand Eye Institute, Habsiguda, Hyderabad, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_996_22

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A 33-year-old male presented with progressive diminution of vision in his right eye for the past ten years following an alkali injury. Examination revealed diffuse, central, advanced, secondary lipid keratopathy (LK) with best-corrected visual acuity (BCVA) of counting fingers-one meter (CF-1 m). Anterior segment optical coherence tomography (AS-OCT) revealed a thin and scarred cornea. Due to the advanced stage of the condition, a manual deep anterior lamellar keratoplasty (DALK) with argon laser photocoagulation (ALPC) to feeder vessels (500 m, 200 ms, 300 mv) combined with intraoperative needle thermal cautery was performed. A reasonably clear cornea with a good visual outcome with complete surface epithelization was achieved postoperatively and documented on AS-OCT at follow-up.

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