A new surgical technique for deep stromal, anterior lamellar keratoplasty

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A new surgical technique for deep stromal, anterior lamellar keratoplasty.

AIMS To describe a new surgical technique for deep stromal anterior lamellar keratoplasty. METHODS In eye bank eyes and sighted human eyes, aqueous was exchanged by air, to visualise the posterior corneal surface--that is, the "air to endothelium" interface. Through a 5.0 mm scleral incision, a deep stromal pocket was created across the cornea, using the air to endothelium interface as a refe...

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New technique of Deep Anterior Lamellar Keratoplasty

Deep anterior lamellar keratoplasty (DALK) is a surgical technique for cornea replacement, which the healthy host corneal endothelium is preserved. Keratoconus patients are those who benefit most from a successful DALK procedure, once the endothelium of these patients is usually normal and should therefore be maintained. Several studies comparing visual outcomes between penetrating keratoplasty...

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Blunt scissors stromal dissection technique for deep anterior lamellar keratoplasty

OBJECTIVE We describe a modified technique for performing lamellar dissection in deep anterior lamellar keratoplasty after failure to achieve a "big bubble" detachment of Descemet's membrane (DM) with deep intrastromal pneumatic injection. METHODS The technique utilizes blunt lamellar dissection with blunt-tipped corneal mini scissors as an alternative to a crescent blade, which can be diffic...

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Small-bubble deep anterior lamellar keratoplasty technique.

Stromal disease (ectasia, opacities, scars, or melting) that occurs after penetrating keratoplasty (PK) can variously affect visual outcome.1,2 To date, even in the presence of healthy endothelium, this typeof complicationhasbeen treatedwith subsequentPK.3 Instead, the selective replacement of the diseased stroma by means of deep anterior lamellar keratoplasty (DALK) using pneumatic dissection ...

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Risk Factors for Failure of Keratoplasty in Keratoconus: Penetrating vs. Deep Anterior Lamellar Keratoplasty

Purpose: To determine the etiologic factors on rejection and failure rates and ocular surface changes after corneal transplantation by either DALK or PKP, in cases of keratoconus (KCN). Methods: In this cross-sectional study, considering the existing data, patients with keratoconus referring to Labbafinejad Medical Center from 2006 to 2016, who underwent corneal transplantation, were enrolled a...

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 1999

ISSN: 0007-1161

DOI: 10.1136/bjo.83.3.327