Scattered Light and Visual Function in a Randomized Trial of Deep Lamellar Endothelial Keratoplasty and Penetrating Keratoplasty

作者: Sanjay V. Patel , Jay W. McLaren , David O. Hodge , Keith H. Baratz

DOI: 10.1016/J.AJO.2007.09.002

关键词:

摘要: Purpose To compare vision, intraocular forward light scatter and corneal backscatter between deep lamellar endothelial keratoplasty (DLEK) penetrating (PK) for dysfunction. Design A randomized clinical trial. Methods Thirteen eyes (12 patients) were to DLEK with a 9 mm scleral incision, 15 (14 PK. The primary outcome was high-contrast best spectacle-corrected visual acuity (BSCVA) at 12 months after surgery; measured one, three, six, surgery. Results BSCVA 0.34 ± 0.16 logMAR (logarithm of the minimum angle resolution) 0.25 0.21 PK (P = .23; detectable difference 0.23 logMAR). change in postoperative correlated (r −0.66; P Conclusions similar one year Improvement decreasing scatter. Increased originated not only from posterior cornea (interface) but also host cornea, which might limit outcomes keratoplasty.

参考文章(23)
William M. Bourne, Jay W. McLaren, A new video pachometer. Investigative Ophthalmology & Visual Science. ,vol. 40, pp. 1593- 1598 ,(1999)
Francis W. Price, Marianne O. Price, Descemet's stripping with endothelial keratoplasty in 200 eyes: Early challenges and techniques to enhance donor adherence. Journal of Cataract and Refractive Surgery. ,vol. 32, pp. 411- 418 ,(2006) , 10.1016/J.JCRS.2005.12.078
T. J. T. P. Van Den Berg, Importance of pathological intraocular light scatter for visual disability. Documenta Ophthalmologica. ,vol. 61, pp. 327- 333 ,(1986) , 10.1007/BF00142360
Tore Feuk, Douglas Mcqueen, The angular dependence of light scattered from rabbit corneas. Investigative Ophthalmology & Visual Science. ,vol. 10, pp. 294- 299 ,(1971)
Roy W Beck, Pamela S Moke, Andrew H Turpin, Frederick L Ferris, John Paul SanGiovanni, Chris A Johnson, Eileen E Birch, Danielle L Chandler, Terry A Cox, R.Clifford Blair, Raymond T Kraker, A computerized method of visual acuity testing: Adaptation of the Early Treatment of Diabetic Retinopathy Study testing protocol American Journal of Ophthalmology. ,vol. 135, pp. 194- 205 ,(2003) , 10.1016/S0002-9394(02)01825-1
Scott L. Zeger, Kung-Yee Liang, Longitudinal data analysis for discrete and continuous outcomes. Biometrics. ,vol. 42, pp. 121- 130 ,(1986) , 10.2307/2531248
Gerrit R.J. Melles, Fred A.G.J. Eggink, Frank Lander, Elisabeth Pels, Frank J.R. Rietveld, W. Houdijn Beekhuis, Perry S. Binder, A surgical technique for posterior lamellar keratoplasty. Cornea. ,vol. 17, pp. 618- 626 ,(1998) , 10.1097/00003226-199811000-00010
Thomas J. T. P. van den Berg, Jan Kees IJspeert, Clinical assessment of intraocular stray light Applied Optics. ,vol. 31, pp. 3694- 3696 ,(1992) , 10.1364/AO.31.003694
Lisa J. Faia, Corneal Graft Folds: A Complication of Deep Lamellar Endothelial Keratoplasty Archives of Ophthalmology. ,vol. 124, pp. 593- 595 ,(2006) , 10.1001/ARCHOPHT.124.4.593