Descemetic and Predescemetic DALK in Keratoconus Patients: A Clinical and Confocal Perspective Study
Joint Authors
Schiano-Lomoriello, Domenico
Colabelli-Gisoldi, Rossella Annamaria
Nubile, Mario
Oddone, Francesco
Ducoli, Giorgio
Villani, Carlo Maria
Pocobelli, Augusto
Mastropasqua, Leonardo
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-26
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To evaluate the clinical outcomes and in vivo confocal microscopy (IVCM) features of keratoconus patients who underwent deep anterior lamellar keratoplasty (DALK).
Methods.
DALK was performed using the big bubble technique in all the patients.
If the bubble was not successful to bare the descemet membrane, a manual dissection layer-by layer was performed to expose a deep stromal plane close to the DM.
The patients were divided in two groups depending on the intraoperative baring of the descemet membrane: predescemetic DALK (PD-DALK) and descemetic DALK (D-DALK) group.
Results.
One month after surgery the D-DALK patients show an increase of mean BCVA.
In the PD-DALK group mean BCVA did not show significant improvement as compared to preoperative values.
At 6 months after surgery mean BCVA was found to be similar in both groups.
At 1 month IVCM the peak of reflectivity of the interface was lower in D-DALK group compared to PD-DALK.
At 6 months the values of reflectivity were comparable.
Conclusions.
At 1 month D-DALK seems to lead to a minor interface reflectivity and to a better BCVA; these differences disappear after 6 months and the values of interface reflectivity and BCVA are comparable between D-DALK and PD-DALK.
American Psychological Association (APA)
Schiano-Lomoriello, Domenico& Colabelli-Gisoldi, Rossella Annamaria& Nubile, Mario& Oddone, Francesco& Ducoli, Giorgio& Villani, Carlo Maria…[et al.]. 2014. Descemetic and Predescemetic DALK in Keratoconus Patients: A Clinical and Confocal Perspective Study. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1034379
Modern Language Association (MLA)
Schiano-Lomoriello, Domenico…[et al.]. Descemetic and Predescemetic DALK in Keratoconus Patients: A Clinical and Confocal Perspective Study. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1034379
American Medical Association (AMA)
Schiano-Lomoriello, Domenico& Colabelli-Gisoldi, Rossella Annamaria& Nubile, Mario& Oddone, Francesco& Ducoli, Giorgio& Villani, Carlo Maria…[et al.]. Descemetic and Predescemetic DALK in Keratoconus Patients: A Clinical and Confocal Perspective Study. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1034379
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034379