The Use of Fibrin Glue To Seal Descemet Membrane Microperforations Occurring During Deep Anterior Lamellar Keratoplasty

Purpose: To report the use of fibrin glue to seal microperforations in Descemet membrane (DM) during deep anterior lamellar keratoplasty (DALK). Methods: Two patients with keratoconus underwent DALK complicated by DM microperforation. Fibrin glue was successfully used to seal the microperforation in both cases. Results: DM remained attached postoperatively in both cases, with no opacification, increased inflammation, or vascularization of the corneal stroma. Conclusions: The use of fibrin glue for managing microperforations in DALK may be a viable option.

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