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

研究成果: Article査読

115 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1-8
ページ数8
ジャーナルAmerican Journal of Ophthalmology
126
1
DOI
出版ステータスPublished - 1998 7月

ASJC Scopus subject areas

  • 眼科学

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