A new surgical technique for deep lamellar keratoplasty with single running suture adjustment

Kazuo Tsubota, Minako Kaido, Yu Monden, Yoshiyuki Satake, Hiroko Bissen-Miyajima, Jun Shimazaki

Research output: Contribution to journalArticle

111 Citations (Scopus)

Abstract

PURPOSE: To improve the technique of deep lamellar keratoplasty. METHODS: For the recipient eye, a divide-and-conquer technique was applied to deep lamellar keratoplasty. After trephinization, the recipient cornea within the trephine was divided into four quadrants to facilitate lamellar dissection at approximately 70% depth. This procedure of division was continued until the Descemet membrane was exposed in the central area. The corneal graft was placed with an adjusted single running suture. Seventeen eyes were treated with this technique. RESULTS: In 17 eyes of 15 patients, the mean visual acuity 6 months or more after deep lamellar keratoplasty was 20/52 with eyeglass correction and 20/80 without eyeglass correction. At 6 months or more after deep lamellar keratoplasty, the mean ± SD keratometric astigmatism in 17 eyes was 3.2 ± 2.3 diopters. CONCLUSION: This technique facilitates deep lamellar keratoplasty and prevents high or excessive astigmatism after surgery.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalAmerican Journal of Ophthalmology
Volume126
Issue number1
DOIs
Publication statusPublished - 1998 Jul

Fingerprint

Social Adjustment
Corneal Transplantation
Sutures
Astigmatism
Descemet Membrane
Cornea
Visual Acuity
Dissection
Transplants

ASJC Scopus subject areas

  • Ophthalmology

Cite this

A new surgical technique for deep lamellar keratoplasty with single running suture adjustment. / Tsubota, Kazuo; Kaido, Minako; Monden, Yu; Satake, Yoshiyuki; Bissen-Miyajima, Hiroko; Shimazaki, Jun.

In: American Journal of Ophthalmology, Vol. 126, No. 1, 07.1998, p. 1-8.

Research output: Contribution to journalArticle

Tsubota, Kazuo ; Kaido, Minako ; Monden, Yu ; Satake, Yoshiyuki ; Bissen-Miyajima, Hiroko ; Shimazaki, Jun. / A new surgical technique for deep lamellar keratoplasty with single running suture adjustment. In: American Journal of Ophthalmology. 1998 ; Vol. 126, No. 1. pp. 1-8.
@article{59cb82fa8f0e4d6e8a98b66a64aa8b0f,
title = "A new surgical technique for deep lamellar keratoplasty with single running suture adjustment",
abstract = "PURPOSE: To improve the technique of deep lamellar keratoplasty. METHODS: For the recipient eye, a divide-and-conquer technique was applied to deep lamellar keratoplasty. After trephinization, the recipient cornea within the trephine was divided into four quadrants to facilitate lamellar dissection at approximately 70{\%} depth. This procedure of division was continued until the Descemet membrane was exposed in the central area. The corneal graft was placed with an adjusted single running suture. Seventeen eyes were treated with this technique. RESULTS: In 17 eyes of 15 patients, the mean visual acuity 6 months or more after deep lamellar keratoplasty was 20/52 with eyeglass correction and 20/80 without eyeglass correction. At 6 months or more after deep lamellar keratoplasty, the mean ± SD keratometric astigmatism in 17 eyes was 3.2 ± 2.3 diopters. CONCLUSION: This technique facilitates deep lamellar keratoplasty and prevents high or excessive astigmatism after surgery.",
author = "Kazuo Tsubota and Minako Kaido and Yu Monden and Yoshiyuki Satake and Hiroko Bissen-Miyajima and Jun Shimazaki",
year = "1998",
month = "7",
doi = "10.1016/S0002-9394(98)00067-1",
language = "English",
volume = "126",
pages = "1--8",
journal = "American Journal of Ophthalmology",
issn = "0002-9394",
publisher = "Elsevier USA",
number = "1",

}

TY - JOUR

T1 - A new surgical technique for deep lamellar keratoplasty with single running suture adjustment

AU - Tsubota, Kazuo

AU - Kaido, Minako

AU - Monden, Yu

AU - Satake, Yoshiyuki

AU - Bissen-Miyajima, Hiroko

AU - Shimazaki, Jun

PY - 1998/7

Y1 - 1998/7

N2 - PURPOSE: To improve the technique of deep lamellar keratoplasty. METHODS: For the recipient eye, a divide-and-conquer technique was applied to deep lamellar keratoplasty. After trephinization, the recipient cornea within the trephine was divided into four quadrants to facilitate lamellar dissection at approximately 70% depth. This procedure of division was continued until the Descemet membrane was exposed in the central area. The corneal graft was placed with an adjusted single running suture. Seventeen eyes were treated with this technique. RESULTS: In 17 eyes of 15 patients, the mean visual acuity 6 months or more after deep lamellar keratoplasty was 20/52 with eyeglass correction and 20/80 without eyeglass correction. At 6 months or more after deep lamellar keratoplasty, the mean ± SD keratometric astigmatism in 17 eyes was 3.2 ± 2.3 diopters. CONCLUSION: This technique facilitates deep lamellar keratoplasty and prevents high or excessive astigmatism after surgery.

AB - PURPOSE: To improve the technique of deep lamellar keratoplasty. METHODS: For the recipient eye, a divide-and-conquer technique was applied to deep lamellar keratoplasty. After trephinization, the recipient cornea within the trephine was divided into four quadrants to facilitate lamellar dissection at approximately 70% depth. This procedure of division was continued until the Descemet membrane was exposed in the central area. The corneal graft was placed with an adjusted single running suture. Seventeen eyes were treated with this technique. RESULTS: In 17 eyes of 15 patients, the mean visual acuity 6 months or more after deep lamellar keratoplasty was 20/52 with eyeglass correction and 20/80 without eyeglass correction. At 6 months or more after deep lamellar keratoplasty, the mean ± SD keratometric astigmatism in 17 eyes was 3.2 ± 2.3 diopters. CONCLUSION: This technique facilitates deep lamellar keratoplasty and prevents high or excessive astigmatism after surgery.

UR - http://www.scopus.com/inward/record.url?scp=0031851983&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031851983&partnerID=8YFLogxK

U2 - 10.1016/S0002-9394(98)00067-1

DO - 10.1016/S0002-9394(98)00067-1

M3 - Article

C2 - 9683143

AN - SCOPUS:0031851983

VL - 126

SP - 1

EP - 8

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

SN - 0002-9394

IS - 1

ER -