M Hussain, M Moin, N A Aasi.
Usefulness of Autokeratoplasty.
Ann King Edward Med Uni Jan ;6-4:381-2.

Autokeratoplasty involves the exchange of corneal button between the two eyes of the same person. The eye with the clear cornea has no potential for vision while the recepient eye has an opaque cornea. Autografts offert the potential advantage of having a very low risk for immunological rejection. We report 3 cases who underwent autokeratoplasty to restore useful vision in one eye.<p> Case 1: A 70 year old male presented in our outpatients department with a history of right intracapsular cataract extraction and left open angle glaucoma His vision was perception of light in the right eye and no perception of light in the left eye. Right eye was aphakic with bullous keratopathy. A grossly normal retina was seen through the hazy cornea.. Left eye showed a clear cornea with an atrophic fully cupped disc. Intra-ocular pressures (IOP) were 18 and 35 mm of Hg in the right and left eye respectively. <p> Case 2: A 65 year female presented in our outpatients department with a history of right pseudophakia and left open angle glaucoma. She was a non-insulin dependent diabetic and her visual acuity was perception of light in the right eye and no perception of light in the left eye. Right eye showed pseudophakic bullous keratopathy and a grossly normal appearing fundus. Left eye had a clear cornea along with a dense cataract and a marked afferent papillary defect. IOP was 14 and 28 mm of Hg in the right and left eye respectively. <p> Case 3: A 50 year male presented in our outpatients department with a history of open angle glaucoma in the right eye and aphakia in the left eye post extracapsular cataract extraction. Visual acuity was no perception of light in the right eye and hand movement in the left eye. Examination of the right eye showed a clear cornea, cataractous lens, marked aferent pupillary defect with a totally cupped atrophic disc. Left eye was aphakic and had an 8mm central corneal opacity secondary to trachoma Figure 1. No fundal view was obtained in the left eye therefore a B scan was done which revealed a flat retina. IOP was 40 and 17 mm of Hg in the right and left eye respectively.

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