నైరూప్య

Rehabilitation of a patient with anterior segment combined pathology

Shanturova M

Induced keratectasia after anterior keratotomy usually develops some years after the surgery and may cause unpredictable consequences. The healing of keratotomic incisions and changes in keratotopography caused by this process require studying. Here we present successful surgical treatment of a patient with bullous keratopathy, keratectasia associated with a previously performed tangential keratotomy, condition after phakic IOL implantation, incomplete complicated cataract and high myopia in the anamnesis. The patient underwent revision of the tangential keratotomic corneal incision, phacic IOL removal, and phacoemulsification with implantation of the capsular ring, Descemet stripping automated endothelial keratoplasty (DSAEK) with femtosecond laser assistance. Perioperative and postoperative periods were without complications. Complete corneal epithelization had been achieved by 6 –7 day. A year after the surgery, the cornea was transparent. The use of selective approaches in keratoplasty and microinvasive technologies for cataract removal allows successfully rehabilitating the patient with severe anterior segment combined pathology.