Deep anterior lamellar keratoplasty in dematiaceous keratomycosis

Abstract

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.

Keywords

• Deep anterior lamellar keratoplasty
• dematiaceous keratomycosis
• graft survival
• therapeutic penetrating keratoplasty