The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Penetrating keratoplasty for

pseudophackic bullous keratopathy

Photo by Professor Chua Chung Nen

This 56 year-old woman underwent a left extracapsular cataract extraction and implant 5 years ago. Unfortunately, she developed bullous keratopathy due to a large descemet membrane detachment. Her vision was hand movement and the cornea shows vascularization. However, following penetrating keratoplasty using donor from Sri Lanka (courtesy of Sarawak Lion's Club in Kuching), her vision improved to 6/18 at 6 months and there were no signs of rejection.


Corneal opacity and vascularization.


Removing the diseased corneal button measuring 7mm in diameter.


After removal of the corneal button. An intraocular lens can be seen centrally.


Interrupted corneal sutures (10/0 nylon) were used to suture the donor cornea to the recipient's.

Next Anterior Segment Case