NOVEMBER/DECEMBER 2010 CATARACT & REFRACTIVE SURGERY TODAY EUROPE 23 F ull-thickness penetrating keratoplasty (PKP) has been the preferred corneal transplantation technique since the procedure was first described in 1905 by Eduard Zirm.1 Today, PKP generally results in clear corneal grafts, with a graft survival rate of up to 72% at 5 years.2 However, the procedure is frequently complicated by ...

DEEP ANTERIOR LAMELLAR KERATOPLASTY: A NEW MANUAL TECHNIQUE Rama et al report visual outcomes in 288 eyes undergoing deep anterior lamellar keratoplasty with a new manual dissection technique. A deep corneal incision was obtained with a calibrated diamond knife to reach a pre-Descemet plane. At the 2-year postoperative follow-up, the mean logarithm of the minimum angle of resolution best specta...

Objective To identify preoperative clinical characteristics of patients undergoing femtosecond laser-assisted anterior lamellar keratoplasty who failed to achieve optimal postoperative visual outcomes. Methods In this single-center, retrospective case series, underwent between 2013 and 2018 were included if they required graft revision, subsequent corneal procedure, or additional visits for a k...

lamellar keratoplasty (lk) has been a well established technique of corneal transplantation. recent improvements in surgical instruments have revolutionized the procedure introducing a new technique employing deeper corneal dissection. this review article describes the indications, techniques, outcomes and complications of deep anterior lk.

purpose: to determine the dissection level during deep lamellar keratoplasty (dalk) using the big-bubble technique by light microscopy (lm) and transmission electron microscopy (tem). methods: descemet’s membrane (dm) and stromal tissue of 4 keratoconic eyes were removed because of inadvertent intraoperative dm perforation during dalk which was converted to penetrating keratoplasty. these speci...

mated Bowman layer preparation with a 90to 100-mm-thick donor lamella of anterior stroma (instead of an 8to 12-mm-thick isolated Bowman layer graft). In our experience, the presence of donor stroma seems to degrade the optical quality of the transplanted cornea (as Descemet stripping endothelial keratoplasty/Descemet stripping automated endothelial keratoplasty grafts containing donor stroma ma...

After preliminary testing with pig, dog, rabbit, monkey, cat, and human cadaver eyes the CLCC system has been used for penetrating and lamellar keratoplasty in human subjects. Clinical experience covers a broad range of corneal pathology. Detailed operative instructions and observations are given. In the experimental situation the CLCC is being used to achieve deep lamellar corneal dissection f...

purpose: to report the outcomes of manual lamellar keratoplasty (lkp) in patients with delayed-onset mustard gas keratitis (mgk) and compare visual outcomes between subgroups with simultaneous or sequential klal and lkp. methods: in this retrospective, interventional study, 52 eyes of 37 male survivors of chemical warfare with mgk who underwent lkp were included. the results were evaluated with...