Abstract | PURPOSE: To report the longterm results of deep lamellar keratoplasty (DLK) using grafts with their own endothelia. METHODS: Fourteen eyes of 14 patients underwent DLK using grafts with endothelium. The average follow-up was approximately 80.0 months. Preoperative diagnoses included: corneal leukoma (five eyes); gelatinous drop-like corneal dystrophy (three eyes); Avellino corneal dystrophy (two eyes); corneal perforation (two eyes); corneal mucopolysaccharidosis (one eye), and keratoconus (one eye). RESULTS: Corrected visual acuity was improved in 13 eyes (93%), but ruptures of Descemet's membrane occurred in six eyes (43%) and a double anterior chamber was found in five eyes (36%) postoperatively. Despite this, all grafts remained clear as a result of their functioning endothelia. CONCLUSIONS: Deep lamellar keratoplasty using a graft with its own endothelium is a safe and valuable procedure with flexibility and feasibility that should suit corneal surgeons of all levels.
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Authors | Shiro Higaki, Yuichi Hori, Naoyuki Maeda, Hitoshi Watanabe, Yoshitsugu Inoue, Yoshikazu Shimomura |
Journal | Acta ophthalmologica
(Acta Ophthalmol)
Vol. 86
Issue 1
Pg. 49-52
(Feb 2008)
ISSN: 1755-3768 [Electronic] England |
PMID | 17803722
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Aged
- Anterior Chamber
(pathology)
- Cataract
(etiology)
- Corneal Diseases
(surgery)
- Corneal Transplantation
(adverse effects, methods)
- Descemet Membrane
(injuries)
- Endothelium, Corneal
(transplantation)
- Feasibility Studies
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Mucopolysaccharidoses
(complications)
- Postoperative Period
- Rupture, Spontaneous
(etiology)
- Transplantation, Autologous
- Treatment Outcome
- Visual Acuity
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