Comparison of Deep Lamellar Keratoplasty and Penetrating Keratoplasty for Lattice and Macular Corneal Dystrophies

Motoko Kawashima, Tetsuya Kawakita, Seika Den, Shigeto Shimmura, Kazuo Tsubota, Jun Shimazaki

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Abstract

Purpose: To compare the therapeutic outcomes after deep lamellar keratoplasty (DLKP) and penetrating keratoplasty (PKP) in patients with lattice corneal dystrophy (LCD) and macular corneal dystrophy (MCD). Design: Age-matched control study. Methods: We reviewed the clinical records of 84 eyes with LCD or MCD who had DLKP (41 eyes) or PKP (43 eyes). Primary pathology consisted of 60 eyes with LCD and 24 eyes with MCD. DLKP was performed by either removing stromal tissue gradually, or by viscodissection of Descemet's membrane. Graft clarity, best-corrected visual acuity (BCVA), endothelial density, and complications were compared between DLKP and PKP, as well as between LCD and MCD. Results: All 84 eyes showed a postoperative improvement in visual acuity. The median final BCVA was not significantly different between PKP and DLKP groups. Endothelial cell loss rates were similar for DLKP and PKP. While the MCD-DLKP group showed progressive decrease in endothelial density, this was not observed in the LCD-DLKP group after surgery. In the DLKP group, most of the complications occurred intraoperatively or in the early phase, whereas late phase complications such as endothelial rejection and secondary glaucoma were the main complications in the PKP group. Conclusions: PKP is no longer an automatic choice for the surgical treatment for LCD and MCD; DLKP seems to be a safe alternative. While DLKP is a favorable method for LCD, MCD may not be a good candidate, as it might show progressive decrease in the corneal endothelium postoperatively.

Original languageEnglish
Pages (from-to)304-309
Number of pages6
JournalAmerican Journal of Ophthalmology
Volume142
Issue number2
DOIs
Publication statusPublished - 2006 Aug

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Penetrating Keratoplasty
Corneal Transplantation
Visual Acuity
Corneal type 1 Macular dystrophy
Descemet Membrane
Corneal Endothelium
Glaucoma
Endothelial Cells
Pathology

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Comparison of Deep Lamellar Keratoplasty and Penetrating Keratoplasty for Lattice and Macular Corneal Dystrophies. / Kawashima, Motoko; Kawakita, Tetsuya; Den, Seika; Shimmura, Shigeto; Tsubota, Kazuo; Shimazaki, Jun.

In: American Journal of Ophthalmology, Vol. 142, No. 2, 08.2006, p. 304-309.

Research output: Contribution to journalArticle

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