Comparative analysis of clinical and functional outcomes of deep anterior lamellar keratoplasty and penetrating keratoplasty for keratoconus patients

Autor: B.E. Malyugin, S.B. Izmailova, E.E. Aiba, I.V. Drozdov, A.N. Pashtaev
Jazyk: ruština
Rok vydání: 2014
Předmět:
Zdroj: Офтальмохирургия, Iss 4, Pp 44-49 (2014)
Druh dokumentu: article
ISSN: 0235-4160
Popis: ABSTRACT Purpose. To evaluate outcomes of surgical treatment of patients with keratocunus using the technique of deep anterior lamellar keratoplasty (DALK) by the aero-viscoseparation of Descemet’s membrane method in a comparative aspect to results of penetrating keratoplasty (PKP). Material and methods. The investigated group included 100 patients (107 eyes) with keratoconus III-IV using the DALK (76 eyes of 70 patients) and the PKP (31 eyes of 30 patients). Preand post-operatively the standard and special diagnostic methods were used (keratotopography, keratopachymetry, anterior segment optical coherence tomography, confocal microscope). The follow-up period was 2 years. Results. Perforation of Descemet’s membrane was a specific intra-operative complication in the main group (10.5%), but converting surgical technique to PKP was required only in 2.6% of cases. Endothelial cell loss 2 years after surgery was 13.6% in the DALK group and 30.8% – in the PKP group (p
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