Peripheral Pneumatic Dissection and Scar Peeling to Complete Deep Anterior Lamellar Keratoplasty in Eyes With Healed Hydrops
| Autor: | Mohamed Sobhy, Mohamed Seifelnasr, Christopher Liu, Mohamed Bahgat Goweida |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures Visual Acuity Scars Lamellar keratoplasty Dissection (medical) Astigmatism Keratoconus Corneal Transplantation 03 medical and health sciences Cicatrix Young Adult 0302 clinical medicine Ophthalmology medicine Humans Prospective Studies Descemet Membrane Dioptre business.industry Corneal Edema medicine.disease eye diseases Peripheral 030221 ophthalmology & optometry Tears Female sense organs medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Cornea. 38(4) |
| ISSN: | 1536-4798 |
| Popis: | PURPOSE To describe a surgical technique to achieve the desired plane during deep anterior lamellar keratoplasty (DALK) in eyes with Descemet membrane (DM) tears due to previous hydrops. METHODS This was a prospective, consecutive, interventional case series of DALK in 12 keratoconic eyes with healed hydrops. Dissection of the peripheral cornea was performed by air injection and using the microbubble incision technique as a guide to the clear predescemetic stroma. The central posterior scar was then removed by peeling to bare DM. RESULTS DALK was successfully completed in all eyes, with DM tears ranging from a microperforation to approximately 4 mm. At 12 months, the mean logMAR best-corrected visual acuity was 0.38 ± 0.07, the mean keratometric astigmatism was 5.2 ± 1.9 diopters, and the mean endothelial cell density was 2364 ± 316.9 cells/mm. CONCLUSIONS Peripheral pneumatic dissection and central scar peeling technique is a useful technique to complete DALK in eyes with scars due to previous hydrops. |
| Databáze: | OpenAIRE |
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