Managing Posterior Pressure During Pseudophakic Keratoplasty

David L. Mccartney, John D. Gottsch, Walter J. Stark

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Positive vitreous pressure during penetrating keratoplasty can be difficult to manage. Despite preventive measures, positive vitreous pressure may occur and appropriate intervention is necessary to prevent serious complications. We describe a technique that may be used intraoperatively to restore a formed anterior segment and to prevent vitreous loss when persistent positive vitreous pressure occurs, while attempting to implant a pseudophakos. A 27-gauge needle, passed across the anterior chamber from limbus to limbus, just anterior to the iris, will stabilize the pseudophakos, restore the anterior chamber depth, and allow donor-tissue suturing.

Original languageEnglish (US)
Pages (from-to)1384-1386
Number of pages3
JournalArchives of ophthalmology
Issue number9
StatePublished - Sep 1989

ASJC Scopus subject areas

  • Ophthalmology


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