We describe a technique for performing deep lamellar keratoplasty using viscoelastic dissection. Deep lamellar dissections of the cornea using viscoelastic substances (sodium hyaluronate) were performed on 4 eyes of 4 patients. One patient with keratoconus and another with corneal scarring underwent lamellar keratoplasty using the technique as the sole procedure for visual rehabilitation. Two p...

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...

AIMS To compare two different techniques for preparation of pre-cut lamellar corneal tissue for Descemet stripping automated keratoplasty. BACKGROUND/METHODS Eight donor lenticules were created with a full pass of the microkeratome blade, which resulted in a posterior lamella and a free cap (anterior lamella off group (AL-off)). Contralateral donor lenticules were created with an incomplete p...

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...

purpose: to compare the outcomes of deep anterior lamellar keratoplasty (dalk) using the big-bubble technique with that of penetrating keratoplasty (pk) in patients with keratoconus. methods: this double-blind clinical trial included patients with moderate to advanced keratoconus and poor spectacle-corrected visual acuity or contact lens intolerance. refractive errors, best corrected visual acu...

Introduction Urrets-Zavalia syndrome is an uncommon complication of the deep anterior lamellar keratoplasty in keratoconus. The manifestations of this syndrome are an irreversible mydriasis, iris atrophy and secondary glaucoma. Case report Deep anterior lamellar keratoplasty was done for keratoconus with a presumably healed corneal hydrops in a 21-year-old Caucasian man. The graft remained cl...

PURPOSE To report the effect of intrastromal injection of bevacizumab in an eye with extensive corneal stromal vascularization after deep anterior lamellar keratoplasty. METHODS Bevacizumab (2.5 mg/1 mL) was injected into the deep corneal stroma of an eye with severe and extensive stromal vascularization. RESULTS Corneal vascularization regressed dramatically after deep stromal injection of...

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...

Keratoplasty is considered the most successful organ transplantation procedure in the world. Reisinger was the first to use the term keratoplasty (Reisinger, 1824), when he suggested using an animal’s eye to provide donor corneal tissue for corneal transplantation in a human. In 1906, the first successful penetrating keratoplasty was performed by Edward Konrad Zirm on a patient suffering from b...