Indian Journal of Ophthalmology - Case Reports

CASE REPORT
Year
: 2021  |  Volume : 1  |  Issue : 4  |  Page : 637--639

Combined deep anterior lamellar keratoplasty and sural nerve transplant in a child with corneal anesthesia and maculo-leucomatous opacity


Pallavi Joshi1, Saptagirish Rambhatla2, Sunil R Moreker3, Devika Singh4 
1 Cornea Consultant, Sankara Eye Hospital, Bengaluru, Karnataka, India
2 Oculoplasty Consultant, Sankara Eye Hospital, Bengaluru, Karnataka, India
3 Oculoplasty Consultant, Apollo & Fortis, Navi Mumbai, Maharashtra, India
4 Cornea Department, Sankara Eye Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Devika Singh
Department of Cornea and Refractive Services, Sankara Eye Hospital, Varthur Road, Kundalahalli, Bangalore - 560 037, Karnataka
India

Sural nerve transplantation is an established procedure for neurotization in patients with corneal anaesthesia. In a child presenting with corneal anesthesia and maculo-leucomatous opacity, a combined deep anterior lamellar keratoplasty (DALK) and sural nerve transplant procedure was done. Under general anesthesia, a sural nerve graft was obtained from the child's own foot and co-apted with contra-lateral supra-orbital nerve. Simultaneously, lamellar dissection of host corneal bed, followed by the apposition of the graft was done. At 1 year follow up, visual acuity had improved, the graft was clear,avascular and the corneal epithelium was healthy.The corneal sensations were appreciated in all quadrants.The child was started on amblyopia therapy. Combined keratoplasty with neurotization surgery is a feasible alternative to staged surgical procedure. It helps achieve faster visual and anatomical recovery.


How to cite this article:
Joshi P, Rambhatla S, Moreker SR, Singh D. Combined deep anterior lamellar keratoplasty and sural nerve transplant in a child with corneal anesthesia and maculo-leucomatous opacity.Indian J Ophthalmol Case Rep 2021;1:637-639


How to cite this URL:
Joshi P, Rambhatla S, Moreker SR, Singh D. Combined deep anterior lamellar keratoplasty and sural nerve transplant in a child with corneal anesthesia and maculo-leucomatous opacity. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Nov 27 ];1:637-639
Available from: https://www.ijoreports.in/article.asp?issn=2772-3070;year=2021;volume=1;issue=4;spage=637;epage=639;aulast=Joshi;type=0