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Update on Bowman layer transplantation.

C Maya Tong1,2, Konine van Dijk1,3, Gerrit R J Melles1,3,4

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Bowman layer transplantation offers a promising, minimally invasive option for advanced keratoconus, stabilizing the cornea and preserving vision. This technique may help patients avoid more invasive procedures like penetrating keratoplasty.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Regenerative Medicine

Background:

  • Keratoconus is a progressive ectatic corneal disease.
  • Advanced keratoconus often requires invasive surgical intervention.
  • Existing treatments like corneal crosslinking or intrastromal rings may not be suitable for all patients.

Purpose of the Study:

  • To review the current literature on Bowman layer transplantation.
  • To evaluate Bowman layer transplantation as a treatment for advanced keratoconus.
  • To assess the efficacy and safety of this novel surgical technique.

Main Methods:

  • Literature review of studies on Bowman layer transplantation.
  • Analysis of surgical techniques and outcomes.
  • Assessment of visual acuity and graft survival rates.

Main Results:

  • Bowman layer transplantation demonstrates an 84% success rate over 5 years.
  • The procedure allows for stable vision with glasses or contact lenses.
  • Technological advancements like femtosecond laser and OCT aid surgical success.

Conclusions:

  • Bowman layer transplantation is a viable, less invasive alternative for advanced keratoconus.
  • It offers a way to stabilize ectatic corneal changes.
  • Further adoption may be facilitated by technological integration.