Deep lamelar keratoplasty

Abstract EN

Background : Deep lamellar keratoplasty (DLKP) is believed to be an effective treatment in eyes in which endothelial cell function had been preserved.

Patients and Methods : In a prospective, uncontrolled pilot study, Melles technique was done in 13 eyes.

The main indications were keratoconus with contact lens intolerance and poor visual acuity.

Results : The uncorrected visual acuity was 20 / 30 or better in 76.9 % of patients and the best glass corrected visual acuity was 20 / 30 or better in 92.3 % patients and 60% achieved 20/20.

The mean refractive astigmatism was 3.01D and mean spherical equivalent was -1.75 D.

Intraoperative perforation of Descemets membrane (DM) did not occur in our patients.

There was no interface opacity that endangers visual acuity.

Conclusion : DLKP is a safe and effective procedure, especially in bilateral cases, because it has no rejection.

However, it is technically difficult.

Visual results were good and acceptable in our patients with no significant complications.