Abstract
Superficial anterior lamellar keratoplasty (SALK) is a useful therapeutic modality to treat anterior and mid-stromal corneal opacities due to various pathologies including trachoma. The interface created during the surgery due to host and donor stroma-to-stroma apposition can be associated with potential complications that can affect its final surgical outcome. Collection of fluid in the interface after sutureless SALK has, rarely, if ever been reported. A 62-year-old man with bilateral pseudophakia and trachomatous keratopathy underwent microkeratome and fibrin-glue-assisted SALK for anterior stromal opacity in the left eye with an improvement of visual acuity to 6/18. Interface fluid was noted 1 week after the surgery which progressed to appear like a cyst subsequently. The visual acuity declined to 3/60. The fluid was drained and graft sutured under the guidance of intraoperative optical coherence tomography. No recurrence was noted till 3-months follow-up and the visual acuity resumed to 6/18.
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