دورية أكاديمية
أعرض في EDS

Descemetic and predescemetic DALK in keratoconus patients: a clinical and confocal perspective study.

التفاصيل البيبلوغرافية
العنوان: Descemetic and predescemetic DALK in keratoconus patients: a clinical and confocal perspective study.
المؤلفون: Schiano-Lomoriello D; IRCCS Bietti Foundation, Via Livenza 3, 00198 Rome, Italy., Colabelli-Gisoldi RA; Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy., Nubile M; Universita degli Studi 'Gabriele D'Annunzio', Chieti, Italy., Oddone F; IRCCS Bietti Foundation, Via Livenza 3, 00198 Rome, Italy., Ducoli G; IRCCS Bietti Foundation, Via Livenza 3, 00198 Rome, Italy., Villani CM; Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy., Mastropasqua L; Universita degli Studi 'Gabriele D'Annunzio', Chieti, Italy., Pocobelli A; Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy.
المصدر: BioMed research international [Biomed Res Int] 2014; Vol. 2014, pp. 123156. Date of Electronic Publication: 2014 Aug 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Hindawi Pub. Co Country of Publication: United States NLM ID: 101600173 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2314-6141 (Electronic) NLM ISO Abbreviation: Biomed Res Int Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Hindawi Pub. Co.
مواضيع طبية MeSH: Corneal Transplantation*, Descemet Membrane/*surgery , Keratoconus/*surgery, Descemet Membrane/pathology ; Humans ; Keratoconus/pathology ; Microscopy, Confocal ; Visual Acuity
مستخلص: Purpose: To evaluate the clinical outcomes and in vivo confocal microscopy (IVCM) features of keratoconus patients who underwent deep anterior lamellar keratoplasty (DALK).
Methods: DALK was performed using the big bubble technique in all the patients. If the bubble was not successful to bare the descemet membrane, a manual dissection layer-by layer was performed to expose a deep stromal plane close to the DM. The patients were divided in two groups depending on the intraoperative baring of the descemet membrane: predescemetic DALK (PD-DALK) and descemetic DALK (D-DALK) group.
Results: One month after surgery the D-DALK patients show an increase of mean BCVA. In the PD-DALK group mean BCVA did not show significant improvement as compared to preoperative values. At 6 months after surgery mean BCVA was found to be similar in both groups. At 1 month IVCM the peak of reflectivity of the interface was lower in D-DALK group compared to PD-DALK. At 6 months the values of reflectivity were comparable.
Conclusions: At 1 month D-DALK seems to lead to a minor interface reflectivity and to a better BCVA; these differences disappear after 6 months and the values of interface reflectivity and BCVA are comparable between D-DALK and PD-DALK.
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تواريخ الأحداث: Date Created: 20140923 Date Completed: 20160515 Latest Revision: 20220318
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4160628
DOI: 10.1155/2014/123156
PMID: 25243112
قاعدة البيانات: MEDLINE
الوصف
تدمد:2314-6141
DOI:10.1155/2014/123156