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https://hdl.handle.net/2440/57379
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Type: | Journal article |
Title: | Deep lamellar keratoplasty in the treatment of keratoconus |
Author: | Pakrou, D. Fung, S. Selva-Nayagam, D. Chehade, M. Leibovitch, I. |
Citation: | Ophthalmologica: international journal of ophthalmology, 2006; 220(3):164-169 |
Publisher: | Karger |
Issue Date: | 2006 |
ISSN: | 0030-3755 1423-0267 |
Statement of Responsibility: | Nima Pakrou, Shirley Fung, Dinesh Selva, Mark Chehade, Igal Leibovitch |
Abstract: | <h4>Purpose</h4>To present our experience with a series of patients treated with deep lamellar keratoplasty (DLK) for keratoconus (KC).<h4>Design</h4>A single surgeon, prospective, consecutive series.<h4>Method</h4>The study included all patients with KC who underwent DLK between March 1999 and November 2003 at the Royal Adelaide Hospital. The parameters evaluated included patients' demographics, pre- and post-operative best corrected visual acuities, post-operative keratometry, and intra- and post-operative complications.<h4>Results</h4>There were 22 patients (23 eyes); 10 females and 12 males, with a mean age of 35 +/- 13 years (median, 33.5; range, 17-73). The median follow-up period was 13 months (range 7-38). In 89% (16/18) of eyes which underwent DLK, and in which a visual acuity could be obtained, a best corrected visual acuity of at least 6/12 was recorded. There were two episodes of Descemet's membrane perforation (8.7%), in which the procedure was converted to penetrating keratoplasty without complications. One patient developed a double anterior chamber, which resolved spontaneously without consequences.<h4>Conclusion</h4>The visual outcomes and complication rates seen in our series are comparable to the recent published literature. Hence DLK can be considered as a suitable alternative to penetrating keratoplasty for the surgical treatment of KC. |
Keywords: | Keratoconus penetrating keratoplasty Deep lamellar keratoplasty Descemet's membrane |
Description: | Copyright © 2006 S. Karger AG, Basel |
DOI: | 10.1159/000091759 |
Published version: | http://dx.doi.org/10.1159/000091759 |
Appears in Collections: | Aurora harvest Opthalmology & Visual Sciences publications |
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