Abstract | PURPOSE: To evaluate the efficacy of automated lamellar therapeutic keratoplasty (ALTK) for the management of anterior corneal stromal scarring caused by trachoma. METHODS: Seventeen cases of trachomatous keratopathy that were treated by ALTK were retrospectively evaluated. The main outcome measures were uncorrected visual acuity, best-corrected visual acuity (BCVA), keratometry, pachymetry, time to epithelialization, graft clarity, and complications, if any. RESULTS: The mean age of the patients was 50.3 ± 14.1 years. Five of the 17 cases had Salzmann nodular degeneration. The mean decimal BCVA was 0.06 ± 0.05 preoperatively, which improved to 0.41 ± 0.16 at 12 months, and 12 eyes (70.6%) had a postoperative BCVA of 6/18 or better. The median epithelialization time was 6 days (range, 1-38 days). Persistent epithelial defect developed in 6 eyes, and 1 eye developed graft infection. CONCLUSIONS: Anterior stromal corneal scarring caused by trachoma can be effectively treated with ALTK. However, occurrence of persistent epithelial defects may complicate the success of this surgery.
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Authors | Namrata Sharma, Ritika Sachdev, Rajesh Sinha, Jeewan S Titiyal, Rasik B Vajpayee |
Journal | Cornea
(Cornea)
Vol. 31
Issue 10
Pg. 1107-10
(Oct 2012)
ISSN: 1536-4798 [Electronic] United States |
PMID | 22902489
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Corneal Diseases
(microbiology, physiopathology, surgery)
- Corneal Pachymetry
- Corneal Stroma
(microbiology, surgery)
- Corneal Transplantation
(methods)
- Eye Infections, Bacterial
(microbiology, physiopathology, surgery)
- Female
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Suture Techniques
- Tissue Donors
- Trachoma
(microbiology, physiopathology, surgery)
- Treatment Outcome
- Visual Acuity
(physiology)
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