Abstract - VT 108 (SELECTED)

Chief Author Mem.No : P22347

Chief Author Name : Dr.PRIYADARSHINI KAMALAKANNAN

Presenting Author :

Mem.No	NAME
P22347	Dr.PRIYADARSHINI KAMALAKANNAN	priya492rpc@gmail.com	9650869926

Video film category : Anterior Segment

Title : A difficult case of dermoid excision with lamellar keratoplasty with MIOCT assistance

Synopsis : A 6-month-old male child presented with a massive dermoid extending up to >2/3rd of the cornea sparing a small part of the cornea nasally with suspected full thickness involvement noted on Ultrasound Bio-microscopy. Following an initial superficial debulking using blunt dissection, MIOCT showed a shallower anterior segment temporally with crowding of angle structures and a remnant of the Descemet membrane-endothelial layer complex could be observed. This encouraged us to go ahead with a lamellar graft. The rim of the dermoid was left on the corneal side to act as a ledge for graft suturing and a ledge plane was created on the scleral side as well. An oval graft was trephined with a vertical diameter of 10mm and horizontal diameter of 6mm after stripping the Descemet's membrane and sutured with interrupted sutures. The conjunctiva was then advanced and sutured. Thus we could manage this difficult case of dermoid with a lamellar procedure rather than a full thickness keratoplasty.

Co-authors Selected :

Mem.No	NAME
M13090	Dr.PRAFULLA KUMAR MAHARANA
S05577	DR. NAMRATA SHARMA