دورية أكاديمية
Deep Anterior Lamellar Keratoplasty Using the Big-Bubble Technique in Keratoconus
| العنوان: | Deep Anterior Lamellar Keratoplasty Using the Big-Bubble Technique in Keratoconus |
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| المؤلفون: | Mohammad-Ali Javadi, Sepehr Feizi, Hossein Jamali, Firooz Mirbabaee |
| المصدر: | Journal of Ophthalmic & Vision Research, Vol 4, Iss 1, Pp 8-13 (2009) |
| بيانات النشر: | Knowledge E, 2009. |
| سنة النشر: | 2009 |
| المجموعة: | LCC:Ophthalmology |
| مصطلحات موضوعية: | Ophthalmology, RE1-994 |
| الوصف: | PURPOSE: To evaluate the visual outcomes and complications of deep anterior lamellar keratoplasty (DALK) using the big-bubble technique in patients with keratoconus. METHODS: In this case series, 104 eyes of 99 patients with moderate to advanced keratoconus underwent DALK. All subjects were contact lens intolerant or had unacceptable spectacle-corrected visual acuity. DALK was performed using the big-bubble technique. Full thickness donor corneas devoid of Descemet's membrane (DM) were sutured to the recipient bed. Best spectacle-corrected visual acuity (BSCVA), refractive status, and intra- and postoperative complications were evaluated. RESULTS: Patients were male in 62.5%. Mean age of patients was 26.2±7.79 (range 15-46) years at the time of DALK and were followed for 23.07±8.1 (range 9-42) months. Mean BSCVA increased from 1.23±0.4 logMAR to 0.26±0.2 logMAR at final follow-up (P < 0.001). Postoperative mean spherical equivalent refractive error and refractive and keratometric astigmatism were -3.41±3.1 D, 3.07±2.4 D, and 3.64±2.2 D, respectively. Bared DM was achieved in 86 (82.7%) eyes. Main complications encountered included filamentary keratitis (19.2%), non-endothelial graft rejection (14.4%), and suture abscess (10.6%). CONCLUSIONS: DALK using the big-bubble technique appears to be a safe and effective procedure in patients with keratoconus. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2008-2010 2008-322X |
| Relation: | http://www.jovr.ir/index.php/jovr/article/view/78; https://doaj.org/toc/2008-2010; https://doaj.org/toc/2008-322X |
| URL الوصول: | https://doaj.org/article/8c76020ca43a4ba9adc9fc1799473775 |
| رقم الأكسشن: | edsdoj.8c76020ca43a4ba9adc9fc1799473775 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20082010 2008322X |
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