Deep lamellar keratoplasty in the treatment of keratoconus

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dc.contributor.authorPakrou, D.
dc.contributor.authorFung, S.
dc.contributor.authorSelva-Nayagam, D.
dc.contributor.authorChehade, M.
dc.contributor.authorLeibovitch, I.
dc.date.issued2006
dc.descriptionCopyright © 2006 S. Karger AG, Basel
dc.description.abstract<h4>Purpose</h4>To present our experience with a series of patients treated with deep lamellar keratoplasty (DLK) for keratoconus (KC).<h4>Design</h4>A single surgeon, prospective, consecutive series.<h4>Method</h4>The study included all patients with KC who underwent DLK between March 1999 and November 2003 at the Royal Adelaide Hospital. The parameters evaluated included patients' demographics, pre- and post-operative best corrected visual acuities, post-operative keratometry, and intra- and post-operative complications.<h4>Results</h4>There were 22 patients (23 eyes); 10 females and 12 males, with a mean age of 35 +/- 13 years (median, 33.5; range, 17-73). The median follow-up period was 13 months (range 7-38). In 89% (16/18) of eyes which underwent DLK, and in which a visual acuity could be obtained, a best corrected visual acuity of at least 6/12 was recorded. There were two episodes of Descemet's membrane perforation (8.7%), in which the procedure was converted to penetrating keratoplasty without complications. One patient developed a double anterior chamber, which resolved spontaneously without consequences.<h4>Conclusion</h4>The visual outcomes and complication rates seen in our series are comparable to the recent published literature. Hence DLK can be considered as a suitable alternative to penetrating keratoplasty for the surgical treatment of KC.
dc.description.statementofresponsibilityNima Pakrou, Shirley Fung, Dinesh Selva, Mark Chehade, Igal Leibovitch
dc.identifier.citationOphthalmologica: international journal of ophthalmology, 2006; 220(3):164-169
dc.identifier.doi10.1159/000091759
dc.identifier.issn0030-3755
dc.identifier.issn1423-0267
dc.identifier.orcidSelva-Nayagam, D. [0000-0002-2169-5417]
dc.identifier.urihttp://hdl.handle.net/2440/57379
dc.language.isoen
dc.publisherKarger
dc.source.urihttps://doi.org/10.1159/000091759
dc.subjectKeratoconus penetrating keratoplasty
dc.subjectDeep lamellar keratoplasty
dc.subjectDescemet's membrane
dc.titleDeep lamellar keratoplasty in the treatment of keratoconus
dc.typeJournal article
pubs.publication-statusPublished

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