c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Corneal Transplant: 16

A D V E R T I S E M E N T

   
 

After excision of the host button, the recipient bed is carefully inspected for remaining tags of tissue. Large tags of residual Descemet's membrane or posterior stroma are excised with curved Vannas scissors. Care is taken not to remove tissue unnecessarily as the resulting defect may lead to wound closure problems.      

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Corneal Transplant: 17

A D V E R T I S E M E N T

   
 

The donor button is removed from the donor punch and cradled endothelial side up on a Paton spatula. The cut edge of the graft is gently grasped at the junction of the epithelium and stroma with fine toothed forceps. Here, a Colibri-style Polack double corneal forceps is used for the first corneal suture.      

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Corneal Transplant: 18

A D V E R T I S E M E N T

   
 

The first 10-0 nylon interrupted suture is placed at the 12 o'clock position and tied snugly. The second suture is placed 180 degrees away at the 6 o'clock position. Then the remaining cardinal sutures are placed at 3 and 9 o'clock.       

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This page was last modified on 3/21/2001.