Abstract | PURPOSE: DESIGN: Interventional case series. METHODS: Thirteen eyes of 12 patients (eight male and four female subjects) with moderate to advanced keratoconus and intolerance to contact lens wear were included in this study. Deep lamellar keratoplasty was performed by the intrastromal air injection technique. Full-thickness donor tissue devoid of Descemet membrane and endothelium was then sutured into place. Best-corrected visual acuity, refractive results, surgical technique, and complication rates were analyzed. RESULTS: Big bubble was successfully achieved in nine eyes (69.2%). Average postoperative best-corrected visual acuity was 20/25 (range 20/50 to 20/20) at a mean follow-up of 5 months. Intraoperative microperforation of Descemet membrane occurred in two eyes (15.3%). Three eyes (23%) developed a steroid-induced increase in intraocular pressure, which responded to medical therapy. CONCLUSIONS:
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Authors | Rajesh Fogla, Prema Padmanabhan |
Journal | American journal of ophthalmology
(Am J Ophthalmol)
Vol. 141
Issue 2
Pg. 254-259
(Feb 2006)
ISSN: 0002-9394 [Print] United States |
PMID | 16458677
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adolescent
- Adult
- Air
- Corneal Stroma
- Corneal Transplantation
(methods)
- Female
- Humans
- Intraoperative Complications
- Keratoconus
(surgery)
- Male
- Postoperative Complications
- Treatment Outcome
- Visual Acuity
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