Big Bubble Deep Anterior Lamellar Keratoplasty for Management of Deep Fungal Keratitis
Joint Authors
Gao, Hua
Song, Peng
Echegaray, Jose J.
Jia, Yanni
Li, Suxia
Du, Man
Perez, Victor L.
Shi, Weiyun
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-01
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To evaluate the therapeutic effect of big bubble deep anterior lamellar keratoplasty (DALK) in patients with deep fungal keratitis.
Methods. Consecutive patients who had DALK for deep fungal keratitis at Shandong Eye Hospital between July 2011 and December 2012 were included.
In all patients, the infiltration depth was more than 4/5ths of the corneal thickness.
DALK surgery was performed with bare Descemet membrane (DM) using the big bubble technique.
Corrected distance visual acuity (CDVA), graft status, and intraoperative and postoperative complications were monitored.
Results.
Big bubble DALK was performed in 23 patients (23 eyes).
Intraoperative perforation of the DM occurred in two eyes (8.7%) during stromal dissection.
The patients received lamellar keratoplasty with an air bubble injected into the anterior chamber.
Double anterior chamber formed in 3 eyes (13.0%).
Mean CDVA of the patients without cataract, amblyopia, and fungal recurrence was improved from preoperative HM/20 cm−1.0 (LogMAR) to 0.23 ± 0.13 (LogMAR) at the last followup ( P < 0.01 ).
Fungal recurrence was found in two patients (8.7%).
Corneal stromal graft rejection was noted in one patient (4.3%).
Conclusions.
DALK using the big bubble technique seems to be effective and safe in the treatment of deep fungal keratitis unresponsive to medication.
American Psychological Association (APA)
Gao, Hua& Song, Peng& Echegaray, Jose J.& Jia, Yanni& Li, Suxia& Du, Man…[et al.]. 2014. Big Bubble Deep Anterior Lamellar Keratoplasty for Management of Deep Fungal Keratitis. Journal of Ophthalmology،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1042431
Modern Language Association (MLA)
Gao, Hua…[et al.]. Big Bubble Deep Anterior Lamellar Keratoplasty for Management of Deep Fungal Keratitis. Journal of Ophthalmology No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1042431
American Medical Association (AMA)
Gao, Hua& Song, Peng& Echegaray, Jose J.& Jia, Yanni& Li, Suxia& Du, Man…[et al.]. Big Bubble Deep Anterior Lamellar Keratoplasty for Management of Deep Fungal Keratitis. Journal of Ophthalmology. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1042431
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042431