NDLI: Deep anterior lamellar keratoplasty using the big-bubble technique for keratectasia after laser in situ keratomileusis.

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Deep anterior lamellar keratoplasty using the big-bubble technique for keratectasia after laser in situ keratomileusis.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Javadi, Mohammad Ali Feizi, Sepehr
Description	Country affiliation: Iran Author Affiliation: Javadi MA ( Ophthalmic Research Center and Department of Ophthalmology, Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.)
Abstract	PURPOSE: To evaluate the efficacy of deep anterior lamellar keratoplasty (DALK) using the big-bubble technique to manage keratectasia after laser in situ keratomileusis (LASIK). SETTING: Ophthalmology Department and Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. METHODS: In this interventional case series, preoperative and postoperative data of patients who had post-LASIK ectasia and DALK using the Anwar big-bubble technique between April 2005 and May 2008 were compiled. Indications for keratoplasty were intolerance of rigid gas-permeable contact lenses or unacceptable corrected visual acuity. Preoperative and postoperative uncorrected (UDVA) and corrected (CDVA) distance visual acuities, spherical equivalent (SE) refractive error, mean keratometry, and keratometric astigmatism were compared. RESULTS: The study included 11 eyes of 10 patients (mean age 31.6 years +/- 7.4 [SD]). The mean follow-up was 20.2 +/- 6.5 months. The mean UDVA increased from 20/400 before DALK to 20/160 after DALK (P = .39) and the CDVA, from 20/160 to 20/40, respectively (P = .007). The increase in the mean SE refractive error was 1.94 diopters (D) (from -11.53 +/- 5.4 D to -13.47 +/- 10.5 D) (P = .34). The mean keratometry was 46.81 +/- 7.2 D preoperatively and 46.31 +/- 1.9 D postoperatively (P = .81) and the mean keratometric astigmatism, 4.75 +/- 2.6 D and 4.55 +/- 2.5 D, respectively (P = .81), showing little change in either parameter. CONCLUSION: Deep anterior lamellar keratoplasty using the big-bubble technique effectively restored corneal regularity and thus increased CDVA; however, a high refractive error should be expected postoperatively. FINANCIAL DISCLOSURE: Neither author has a financial or proprietary interest in any material or method mentioned.
File Format	HTM / HTML
ISSN	08863350
Issue Number	7
Volume Number	36
e-ISSN	18734502
Journal	Journal of Cataract & Refractive Surgery
Language	English
Publisher	Elsevier
Publisher Date	2010-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Ophthalmology Cornea Pathology Corneal Diseases Surgery Corneal Transplantation Methods Keratomileusis, Laser In Situ Adverse Effects Adult Air Etiology Physiopathology Dilatation, Pathologic Follow-up Studies Humans Intraoperative Complications Middle Aged Postoperative Complications Visual Acuity Physiology Journal Article
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Surgery

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