A variation of the femtosecond laser-assisted sutureless anterior lamellar keratoplasty technique using a femtosecond laser incision for surgical management of anterior corneal disease is described. Six patients with corneal scars were treated with the laser to create a horizontal lamellar bed interface in the cornea of the donor and recipient eyes, with a manual partial-thickness vertical trep...

PURPOSE To analyze the 6-month anterior and posterior topographic changes of the cornea after deep lamellar endothelial keratoplasty. METHODS Orbscan topographies of 22 eyes from 21 patients with corneal decompensation were retrospectively analyzed: 11 eyes received a 9-mm scleral access incision (large-incision group) and 11 eyes received a 5-mm scleral access incision (small-incision group)...

purpose: to report the possible transmission of zygomycetes infection by a corneal graft harvested from a donor with signs of trauma to the orbital region to a keratoconic patient who underwent deep anterior lamellar keratoplasty (dalk). case report: a 19-year-old keratoconic man underwent dalk in the right eye. the corneal graft was harvested from a donor with signs of orbital trauma. on posto...

Glaucoma after corneal transplantation is a leading cause of ocular morbidity after penetrating keratoplasty. The incidence reported is highly variable and a number of etiologic factors have been identified. A number of treatment options are available; surgical intervention for IOP control is associated with a high incidence of graft failure. IOP elevation is less frequently seen following deep...

PURPOSE To describe the development of presumed immune-mediated stromal rejection after automated lamellar therapeutic keratoplasty (ALTK) and its reversal after initiation of intensive topical corticosteroid therapy. METHODS Observational case report. RESULTS Stromal edema localized in the graft developed 42 days after ALTK for Avellino corneal dystrophy in a 65-year-old man. After one wee...

PURPOSE To investigate the incidence, mechanisms, characteristics, and visual outcomes of traumatic wound dehiscence following keratoplasty. METHODS Medical records of 32 consecutive patients with traumatic globe rupture following keratoplasty who had been treated at our center from 2001 to 2009 were retrospectively reviewed. RESULTS The study population consisted of 32 eyes of 32 patients ...

D escemet membrane endothelial keratoplasty (DMEK), the newest and most advanced form of endothelial transplantation, represents the culmination of the evolution of keratoplasty techniques. It has nudged aside its predecessor, Descemet stripping automated endothelial keratoplasty (DSAEK), just as DSAEK displaced its own forerunner, deep lamellar endothelial keratoplasty (DLEK). What differentia...

purpose: to investigate the incidence, mechanisms, characteristics, and visual outcomes of traumatic wound dehiscence following keratoplasty. methods: medical records of 32 consecutive patients with traumatic globe rupture following keratoplasty who had been treated at our center from 2001 to 2009 were retrospectively reviewed. results: the study population consisted of 32 eyes of 32 patients i...

purpose: to determine the effect of retained donor descemet membranes (dms) on visual outcomes following deep anterior lamellar keratoplasty (dalk). methods: in this retrospective comparative study, keratoconic eyes undergoing dalk using the big-bubble technique were enrolled. a bared dm was achieved in all cases. a donor cornea without (group 1; 48 eyes) or with (group 2; 22 eyes) dm was sutur...

Over the past ten years, corneal transplantation surgical techniques have undergone revolutionary changes. Since its inception, traditional full thickness corneal transplantation has been the treatment to restore sight in those limited by corneal disease. Some disadvantages to this approach include a high degree of post-operative astigmatism, lack of predictable refractive outcome, and disturba...