OUTCOMES OF DEEP ANTERIOR LAMELLAR KERATOPLASTY IN PATIENTS WITH KERATOCONUS USING THE BIG-BUBBLE TECHNIQUE

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JAVADI M.A.; JAMALI HOSSEIN; FEYZI SEPEHR; ZAREEI GHANAVATI S.; MIRBABAEI F.; MIRZADEH M.A.S.

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Journal: BINA Year:2009 | Volume:15 | Issue:1 (58) Page(s): 31-40

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Title

OUTCOMES OF DEEP ANTERIOR LAMELLAR KERATOPLASTY IN PATIENTS WITH KERATOCONUS USING THE BIG-BUBBLE TECHNIQUE

Author(s)

Keywords

KERATOPLASTYQ3

KERATOCONUSQ3

REFRACTIVE ERRORQ3

Abstract

Purpose: To evaluate visual outcomes after deep anterior lamellar KERATOPLASTY (DALK) in patients with KERATOCONUS.Methods: In this interventional case series, patients with moderate to advanced KERATOCONUS underwent DALK. Inclusion criteria consisted of contact lens intolerance or poor spectacle-corrected visual acuity. DALK was performed using the big-bubble technique introduced by Anwar and Teichmann. Outcome measures included visual acuity, refractive status, effect of different methods of suturing on visual outcomes and intraoperative and postoperative complications.Results: One-hundred and twenty-six consecutive eyes of 121 patients were included. At the time of surgery, mean patient age and mean follow-up period were 26.08±7.6 years and 21.62±9.0 months, respectively. Mean preoperative uncorrected and best corrected visual acuity were 20/500 and 20/400, increasing to 20/80 and 20/32 after the operation, respectively (P<0.001). Postoperatively mean spherical REFRACTIVE ERROR and refractive and keratometric astigmatism were -3.41±3.1D, 3.04±2.3D, and 3.67±2.1D, respectively. Bared DM was achieved in 100 (81.3%) eyes, however, in 23 (18.7%) eyes a few layers of the stroma remained.Conclusion: DALK using the big-bubble technique appears to be an effective procedure for patients with KERATOCONUS. In the case of extensive intraoperative DM perforation or postoperative complications, PK could be done without any limitation.

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APA: Copy

JAVADI, M.A., JAMALI, HOSSEIN, FEYZI, SEPEHR, ZAREEI GHANAVATI, S., MIRBABAEI, F., & MIRZADEH, M.A.S.. (2009). OUTCOMES OF DEEP ANTERIOR LAMELLAR KERATOPLASTY IN PATIENTS WITH KERATOCONUS USING THE BIG-BUBBLE TECHNIQUE. BINA, 15(1 (58)), 31-40. SID. https://sid.ir/paper/42239/en

Vancouver: Copy

JAVADI M.A., JAMALI HOSSEIN, FEYZI SEPEHR, ZAREEI GHANAVATI S., MIRBABAEI F., MIRZADEH M.A.S.. OUTCOMES OF DEEP ANTERIOR LAMELLAR KERATOPLASTY IN PATIENTS WITH KERATOCONUS USING THE BIG-BUBBLE TECHNIQUE. BINA[Internet]. 2009;15(1 (58)):31-40. Available from: https://sid.ir/paper/42239/en

IEEE: Copy

M.A. JAVADI, HOSSEIN JAMALI, SEPEHR FEYZI, S. ZAREEI GHANAVATI, F. MIRBABAEI, and M.A.S. MIRZADEH, “OUTCOMES OF DEEP ANTERIOR LAMELLAR KERATOPLASTY IN PATIENTS WITH KERATOCONUS USING THE BIG-BUBBLE TECHNIQUE,” BINA, vol. 15, no. 1 (58), pp. 31–40, 2009, [Online]. Available: https://sid.ir/paper/42239/en

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