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Refractive keratoplasty: microkeratome evaluation

P S Binder, P H Akers, J K Deg

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |May 1, 1982
    PubMed
    Summary
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    The microkeratome technique for lamellar keratectomy offers more predictable corneal resections and better wound healing than freehand methods. This refined technique is crucial for successful refractive keratoplasty procedures.

    Area of Science:

    • Ophthalmology
    • Surgical Techniques
    • Corneal Surgery

    Background:

    • Lamellar keratectomy is a surgical procedure involving the removal of a thin layer of corneal tissue.
    • Refractive keratoplasty aims to correct vision by reshaping the cornea.
    • Comparing surgical techniques is essential for improving patient outcomes.

    Purpose of the Study:

    • To compare the predictability and wound coaptation of microkeratome versus freehand lamellar keratectomy.
    • To evaluate the impact of these techniques on corneal endothelium integrity.
    • To identify key factors contributing to the success of refractive keratoplasty.

    Main Methods:

    • Performed microkeratome lamellar keratectomies in 65 canine eyes.
    • Performed freehand lamellar keratectomies in 24 human eye-bank eyes.

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  • Assessed resection predictability, wound coaptation, and corneal endothelium damage.
  • Main Results:

    • Microkeratome technique demonstrated more predictable corneal resections than the freehand technique.
    • The microkeratome technique facilitated superior wound coaptation.
    • Neither surgical technique resulted in damage to the corneal endothelium.

    Conclusions:

    • The refined microkeratome technique is a significant factor in the success of refractive keratoplasty.
    • Microkeratome lamellar keratectomy offers advantages in predictability and wound healing.
    • Preservation of corneal endothelium is achievable with both techniques.