Femtosecond laser–assisted sutureless anterior lamellar keratoplasty for superficial corneal opacities

作者: Mahmoud Jabbarvand , Hesam Hashemian , Mehdi Khodaparast , Hadi Ghadimi , Elias Khalilipour

DOI: 10.1016/J.JCRS.2014.02.044

关键词:

摘要: Purpose To evaluate the visual and refractive outcomes, endothelial cell count (ECC), ocular surface changes, corneal aberrations, biomechanical profile changes after femtosecond laser–assisted anterior lamellar keratoplasty surgery for superficial scars. Setting Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. Design Prospective case series. Methods Patients with scars had keratoplasty. Visual results, ECC, profiles were assessed preoperatively 1 year postoperatively. Results Nineteen eyes (19 patients) evaluated. A significant decline occurred in astigmatism year. There was a nonsignificant reduction hysteresis resistance factor from to The corneal-compensated intraocular pressure (IOP) Goldmann-correlated IOP increased during follow-up; increase not significant. statistically insignificant root mean square trefoil spherical aberrations between month postoperatively ( P =.1 =.4, respectively). decreases primary coma total higher-order approached significance =.08 =.07, no central thickness, or parameters. No intraoperative complications occurred. Conclusion Femtosecond an efficient safe procedure improving quality vision patients pathology, results remained stable 1-year follow-up. Financial Disclosure author has financial proprietary interest any material method mentioned.

参考文章(30)
W M Bourne, D O Hodge, L R Nelson, Central corneal endothelial cell changes over a ten-year period. Investigative Ophthalmology & Visual Science. ,vol. 38, pp. 779- 782 ,(1997)
Jun Shimazaki, Shigeto Shimmura, Misaki Ishioka, Kazuo Tsubota, Randomized clinical trial of deep lamellar keratoplasty vs penetrating keratoplasty. American Journal of Ophthalmology. ,vol. 134, pp. 159- 165 ,(2002) , 10.1016/S0002-9394(02)01523-4
Mahmoud Jabbarvand, Ahmad SalamatRad, Hesam Hashemian, Mehdi Mazloumi, Mehdi Khodaparast, Continuous intracorneal ring implantation for keratoconus using a femtosecond laser Journal of Cataract and Refractive Surgery. ,vol. 39, pp. 1081- 1087 ,(2013) , 10.1016/J.JCRS.2013.02.054
Bruce A Noble, Ashish Agrawal, Cian Collins, Manuel Saldana, Paul R Brogden, Bruno Zuberbuhler, Deep Anterior Lamellar Keratoplasty (DALK): visual outcome and complications for a heterogeneous group of corneal pathologies. Cornea. ,vol. 26, pp. 59- 64 ,(2007) , 10.1097/01.ICO.0000240080.99832.F3
Mohammed Anwar, Klaus D Teichmann, None, Big-bubble technique to bare Descemet's membrane in anterior lamellar keratoplasty. Journal of Cataract and Refractive Surgery. ,vol. 28, pp. 398- 403 ,(2002) , 10.1016/S0886-3350(01)01181-6
S PRAMANIK, D MUSCH, J SUTPHIN, A FARJO, Extended long-term outcomes of penetrating keratoplasty for keratoconus. Ophthalmology. ,vol. 113, pp. 1633- 1638 ,(2006) , 10.1016/J.OPHTHA.2006.02.058
Akif Özdamar, Cengiz Aras, Nurettin Karakas, Bozkurt Sener, Murat Karacorlu, None, Changes in tear flow and tear film stability after photorefractive keratectomy. Cornea. ,vol. 18, pp. 437- 439 ,(1999) , 10.1097/00003226-199907000-00008
Jianhua Wang, Trefford L. Simpson, Desmond Fonn, Objective measurements of corneal light-backscatter during corneal swelling, by optical coherence tomography. Investigative Ophthalmology & Visual Science. ,vol. 45, pp. 3493- 3498 ,(2004) , 10.1167/IOVS.04-0096
A. Ehongo, V. De Maertelaer, S. Pourjavan, Effect of topical corneal anaesthesia on ocular response analyzer parameters: pilot study International Ophthalmology. ,vol. 29, pp. 325- 328 ,(2009) , 10.1007/S10792-008-9239-X