Deep anterior lamellar keratoplasty in dematiaceous keratomycosis

• Main Authors: Shilpa Ajit Joshi, Neha Sandeep Sharma, Madan Deshpande
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Journal of Clinical Ophthalmology and Research
• Subjects: Deep anterior lamellar keratoplasty; dematiaceous keratomycosis; graft survival; therapeutic penetrating keratoplasty
• Online Access: http://www.jcor.in/article.asp?issn=2320-3897;year=2016;volume=4;issue=2;spage=95;epage=97;aulast=Joshi

Deep anterior lamellar keratoplasty is a technique which has been used effectively to treat anterior stromal corneal opacities, with the obvious benefit of preserving host endothelium. This report documents its use in a case of dematiaceous keratomycosis resistant to conservative management. Therapeutic penetrating keratoplasty, although a gold standard, has a high risk of rejection and poor graft survival. In our patient, careful case selection and meticulous dissection ensured elimination of infection, restoration of vision, and absence of recurrence of infection.