Anterior synechiolysis after keratoplasty

Abstract

Anterior synechiae that develop following keratoplasty may induce immunological graft rejection or graft failure. Current surgical technique designed to remove the synechiae early on are quite cumbersome. We describe a simple technique of anterior synechiolysis, performed 1 to 4 weeks postoperatively, using a bent 26-gauge needle, that proved safe and effective in seven cases. The only complication was a hyphema in one case. None of the synechiae had recurred at the final follow up at 3 months.