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

作者: Kazuo Tsubota , Minako Kaido , Yu Monden , Yoshiyuki Satake , Hiroko Bissen-Miyajima

DOI: 10.1016/S0002-9394(98)00067-1

关键词:

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

参考文章(18)
H Kolb, G Niemeyer, E Rungger-Brändle, Histochemical Demonstration of Glycogen in Neurons of the Cat Retina Investigative Ophthalmology & Visual Science. ,vol. 37, pp. 702- 715 ,(1996)
Christopher J. Lyons, Alison C. McCartney, Colin M. Kirkness, Linda A. Ficker, Arthur D. McG. Steele, Noel S.C. Rice, Granular corneal dystrophy. Visual results and pattern of recurrence after lamellar or penetrating keratoplasty. Ophthalmology. ,vol. 101, pp. 1812- 1817 ,(1994) , 10.1016/S0161-6420(94)31096-7
James M. Richard, David Paton, Antonio R. Gasset, A comparison of penetrating keratoplasty and lamellar keratoplasty in the surgical management of keratoconus. American Journal of Ophthalmology. ,vol. 86, pp. 807- 811 ,(1978) , 10.1016/0002-9394(78)90126-5
SHEILA M. GORE, ANDY VAIL, BENJAMIN A. BRADLEY, CHRIS A. ROGERS, DAVID L. EASTY, HLA-DR matching in corneal transplantation : systematic review of published evidence Transplantation. ,vol. 60, pp. 1033- 1039 ,(1995) , 10.1097/00007890-199511000-00026
William M. Bourne, David O. Hodge, Leif R. Nelson, Corneal endothelium five years after transplantation American Journal of Ophthalmology. ,vol. 118, pp. 185- 196 ,(1994) , 10.1016/S0002-9394(14)72898-3
Howard V. Gimbel, Divide and conquer nucleofractis phacoemulsification: Development and variations Journal of Cataract and Refractive Surgery. ,vol. 17, pp. 281- 291 ,(1991) , 10.1016/S0886-3350(13)80824-3
Maureen G Maguire, Walter J Stark, John D Gottsch, R Doyle Stulting, Alan Sugar, Nancy E Fink, Ann Schwartz, Collaborative Corneal Transplantation Studies Research Group, Risk Factors for Corneal Graft Failure and Rejection in the Collaborative Corneal Transplantation Studies Ophthalmology. ,vol. 101, pp. 1536- 1547 ,(1994) , 10.1016/S0161-6420(94)31138-9
Thomas O. Wood, Lamellar Transplants in Keratoconus American Journal of Ophthalmology. ,vol. 83, pp. 543- 545 ,(1977) , 10.1016/0002-9394(77)90563-3