Premium
Longterm results of deep lamellar keratoplasty using grafts with endothelium
Author(s) -
Higaki Shiro,
Hori Yuichi,
Maeda Naoyuki,
Watanabe Hitoshi,
Inoue Yoshitsugu,
Shimomura Yoshikazu
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1600-0420.2007.01004.x
Subject(s) - medicine , keratoconus , corneal endothelium , ophthalmology , corneal dystrophy , visual acuity , corneal transplantation , surgery , cornea
Abstract. Purpose: To report the longterm results of deep lamellar keratoplasty (DLK) using grafts with their own endothelia. Methods: Fourteen eyes of 14 patients underwent DLK using grafts with endothelium. The average follow‐up was approximately 80.0 months. Preoperative diagnoses included: corneal leukoma (five eyes); gelatinous drop‐like corneal dystrophy (three eyes); Avellino corneal dystrophy (two eyes); corneal perforation (two eyes); corneal mucopolysaccharidosis (one eye), and keratoconus (one eye). Results: Corrected visual acuity was improved in 13 eyes (93%), but ruptures of Descemet's membrane occurred in six eyes (43%) and a double anterior chamber was found in five eyes (36%) postoperatively. Despite this, all grafts remained clear as a result of their functioning endothelia. Conclusions: Deep lamellar keratoplasty using a graft with its own endothelium is a safe and valuable procedure with flexibility and feasibility that should suit corneal surgeons of all levels.