PURPOSE To compare the measurement of contrast sensitivity at a distance in patients submitted to penetrating keratoplasty versus patients submitted to deep anterior lamellar keratoplasty for keratoconus treatment. METHODS Contrast sensitivity of fourteen subjects submitted to penetrating keratoplasty and fourteen subjects submitted to deep anterior lamellar keratoplasty have been analyzed th...

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...

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...

purpose: to compare clinical outcomes following penetrating keratoplasty (pk) versus deep anterior lamellar keratoplasty (dalk) for keratoconic patients with vernal keratoconjunctivitis (vkc). methods: in this retrospective comparative study, the records of 69 keratoconic eyes with vkc that underwent pk (n=43, group 1) or dalk (n=26, group 2) were compiled. postoperative best-corrected visual a...

purpose: to evaluate the influence of donor characteristics (age, death-to-preservation time, preservation-to-surgery time, graft rating, and endothelial cell features) on clinical outcomes following deep anterior lamellar keratoplasty (dalk) in patients with keratoconus. methods: in this retrospective study, 290 consecutive keratoconic eyes underwent dalk using donor corneas of different quali...

purpose: to compare the clinical and paraclinical outcomes following deep anterior lamellar keratoplasty (dalk) using frozen versus fresh corneas in patients with keratoconus. methods: in this prospective, comparative interventional study, 16 frozen and 19 fresh corneas were used during dalk in keratoconus patients. big bubble technique was used in all patients. the two groups were compared at ...

purpose: to report a case of bilateral acanthamoeba keratitis with recurrence after keratoplasties case report: here we report a case with bilateral acanthamoeba keratitis who initially responds to medical treatment, after discontinuation of treatment the disease flared up and not responded to medical therapy so superficial keratectomy was done and medical treatment continued and the ulcer impr...

background: astigmatism is the leading complication in visual recovery after penetrating keratoplasty (pkp) and deep anterior lamellar keratoplasty (dalk); in this study, we evaluated the outcome of femtosecond laser arcuate keratotomy (flak) after dalk and pkp in iranian keratoconic patients. materials and methods: in this prospective interventional case series, refractive and keratometric pre...

Lamellar keratoplasty consists of transplanting partial-thickness donor cornea onto a complementary recipient bed. Manual lamellar dissection is technically very difficult, time-consuming, and imprecise. Also, the manually-dissected lamellar interface often has topographical irregularities that may optically degrade the best-corrected visual acuity. The femtosecond clinical laser (IntraLase FS ...