Microkeratome assisted deep lamellar keratoprosthesis

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SCIENTIFIC REPORT Microkeratome assisted deep lamellar keratoprosthesis

Aims: To establish a keratoprosthesis (Kpro) surgical technique that maintains an intact superficial corneal layer. Methods: A manual microkeratome (Moria LSK-1) was used to create a 130 mm flap of approximately 10 mm diameter in the right eye of Japanese white rabbits. The stoma beneath the flap area was dissected before the removal of a 5.0 mm stromal disc. A 5.0 mm collagen I immobilised pol...

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Microkeratome-assisted anterior lamellar keratoplasty.

Microkeratome-assisted anterior lamellar keratoplasty has emerged as a surgical option for conditions affecting the clarity of the outer 200 mum of the cornea. Herein we describe the outcome of a simple procedure in which the excimer laser can be used to augment deep tissue removal after both recipient bed and donor graft are prepared with the microkeratome. Our noncomparative interventional ca...

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Mechanical stability of microkeratome-assisted intracorneal keratoprosthesis implantation.

OBJECTIVE To develop a laboratory model to study intracorneal keratoprosthesis implantation. METHODS A combination microkeratome and artificial anterior chamber system was used to create a hinged lamellar keratectomy on 13 human corneas. After reflecting the flap, the posterior stroma was trephined at either 2.5 or 3.0 mm. A model keratoprosthesis was positioned in the bed. The flap was sutur...

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A new surgical technique of microkeratome-assisted deep lamellar keratoplasty with a hinged flap.

We describe a new surgical technique of microkeratome-assisted deep lamellar keratoplasty for treating patients with corneal stromal disease and normal endothelium. A microkeratome is used to create a hinged anterior stromal flap in the host cornea, and the diseased stroma is resected or ablated. A complementary donor stromal button, prepared using a microkeratome and an artificial anterior cha...

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Outcomes from a modified microkeratome-assisted lamellar keratoplasty for keratoconus.

To improve visual and refractive outcomes, microkeratome-assisted lamellar keratoplasty for the treatment of keratoconus (exchange of a 9.0-mm anterior recipient lamella with a 9.0-mm donor lamella, using a 200-μm head for the former and a 300-μm head for the latter) was modified by adding a 6.5-mm incomplete full-thickness incision in the recipient bed before suturing the donor graft in place....

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 2006

ISSN: 0007-1161

DOI: 10.1136/bjo.2006.090324