Panda, AnitaKumar, Sandeep2011-12-302011-12-302011-07Panda Anita, Kumar Sandeep. Can we overcome the challenges of sutures in lamellar keratoplasty. Indian Journal of Ophthalmology. 2011 July; 59(4): 308-310.http://imsear.searo.who.int/handle/123456789/136196Lamellar keratoplasty (LK) is a technique which can be followed for both tectonic and optical purposes. We describe a technique of sutureless anterior LK by fixing the donor lenticule to the recipient bed using fibrin glue. LK was performed in an eye with corneal opacity using the manual dissection method. The donor lenticule was cut with a microkeratome after fixing the corneoscleral rim in an artificial anterior chamber. The size of the donor lenticule was 8.5 mm and fixed to the recipient bed with fibrin glue. The surgical time was reduced significantly with this technique. There was an uneventful postoperative period during the follow-up of 12 months. Best corrected visual acuity improved from hand movement to 20/60. Thus, the use of fibrin glue for fixing the anterior lamellar lenticule is a viable option for both optical and anatomical purposes.enFibrin gluelamellar keratoplastyChildCornea --surgeryCorneal Opacity --surgeryCorneal Transplantation --methodsDissectionEyeglassesFibrin Tissue Adhesive --therapeutic useFollow-Up StudiesHumansMaleMiddle AgedSutures --adverse effectsTissue Adhesives --therapeutic useTissue and Organ Harvesting --methodsVisual AcuityArticle