Steger, Bernhard, Romano, Vito 
ORCID: 0000-0002-5148-7643, Palme, Christoph and Kaye, Stephen B ORCID: 0000-0003-0390-0592
(2016)
Intraoperative management of macroperforations of Descemet's membrane in deep anterior lamellar keratoplasty.
SPEKTRUM DER AUGENHEILKUNDE, 30 (4-5).
pp. 175-180.
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Intraoperative management of macroperforations of Descemet's membrane in deep anterior lamellar keratoplasty.pdf - Published version Download (1MB) | Preview |
Abstract
<h4>Background</h4>To describe a surgical approach for the completion of pre-descemetic deep anterior lamellar keratoplasty (pdDALK) in the presence of a macroperforation of Descemet's membrane (DM).<h4>Methods</h4>Using case notes, we recorded the details of the intra- and perioperative course of patients who underwent successful pdDALK in the presence of macroperforation. A literature search of pdDALK techniques available to the corneal surgeon in a similar scenario was undertaken.<h4>Results</h4>In two very different scenarios with intra- or preoperative perforation of DM, a centripetal layered lamellar dissection was performed and allowed completion of pdDALK with a residual recipient central stromal thickness of 36 and 115 µm and good visual outcome.<h4>Conclusion</h4>Despite very different scenarios, a centripetal layered lamellar dissection offers an approach for the completion of pdDALK in the presence of a macroperforation.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Pre-descemetic deep anterior lamellar keratoplasty, Lamellar dissection, Descemet's membrane perforation, Surgical technique, Corneal surgery |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 15 May 2019 09:50 |
| Last Modified: | 19 Jan 2023 00:45 |
| DOI: | 10.1007/s00717-016-0312-y |
| Open Access URL: | https://doi.org/10.1007/s00717-016-0312-y |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3041434 |
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