Intrastromal Descemet Membrane Transplantation as a Potential Alternative to Bowman Layer Inlays in Eyes With Advanced Keratoconus
| Autor: | Korine van Dijk, Carolina Oganesyan, Gerrit R. J. Melles, Oganes Oganesyan, V. R Getadaryan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Keratoconus Visual acuity genetic structures medicine.medical_treatment Visual Acuity Refraction Ocular 01 natural sciences law.invention Corneal Transplantation 03 medical and health sciences 0302 clinical medicine law Ophthalmology Humans Medicine 0101 mathematics Descemet Membrane Corneal transplantation Keratometer medicine.diagnostic_test Inlay business.industry 010102 general mathematics Corneal Topography medicine.disease Corneal topography eye diseases Contact lens Transplantation 030221 ophthalmology & optometry sense organs medicine.symptom business Follow-Up Studies |
| Zdroj: | Eye & Contact Lens: Science & Clinical Practice. 47:223-225 |
| ISSN: | 1542-2321 |
| DOI: | 10.1097/icl.0000000000000749 |
| Popis: | Herein, we report the outcomes of intrastromal Descemet membrane (DM) transplantation in corneas with advanced keratoconus. Three eyes (three patients) showed advanced keratoconus. No eye underwent prior UV-cross-linking or any other ocular surgery. In all eyes, A donor DM was implanted into a mid-stromal pocket and clinical outcomes were evaluated up to 24 months after surgery. All procedures were uneventful. Up to 24 months postoperatively, the DM graft was well-positioned and barely visible within the recipient stroma; all corneas were clear. No eye showed signs of keratoconus progression throughout the follow-up. No changes were observed in uncorrected and best contact lens corrected visual acuity, central endothelial cell density, corneal thinnest point pachymetry, and maximum keratometry values. No early or late postoperative complications were observed. Intrastromal DM transplantation may be an alternative to intrastromal Bowman layer transplantation in advanced keratoconus, to postpone deep anterior lamellar or penetrating keratoplasty. |
| Databáze: | OpenAIRE |
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