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Published on: June 12, 2012
Sutureless homoplastic lamellar keratoplasty
B S Elkins1, J C Casebeer, G M Kezirian
1Casebeer Eye Center, Scottsdale, AZ, USA.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|March 1, 1997
Summary
Sutureless homoplastic lamellar keratoplasty offers an alternative to penetrating keratoplasty for managing corneal cap complications. This technique, using an automated microkeratome, showed promising visual improvement in some patients.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Refractive Surgery
Background:
- Penetrating keratoplasty is a traditional treatment for corneal cap complications after keratomileusis.
- A need exists for simpler lamellar techniques to avoid invasive penetrating procedures.
Purpose of the Study:
- To develop and evaluate sutureless homoplastic lamellar keratoplasty.
- To offer a technically easier alternative to standard lamellar keratoplasty for specific corneal issues.
Main Methods:
- Sutureless homoplastic lamellar keratoplasty was performed on five eyes with post-keratomileusis complications.
- The procedure utilized an automated microkeratome and topical anesthesia.
Main Results:
- Three of five eyes achieved improved vision, with two reaching 20/20 and 20/30.
- Two eyes with poor host stromal beds ultimately required penetrating keratoplasty.
- All lamellar grafts remained clear and well-seated during a mean follow-up of 13 months.
Conclusions:
- Sutureless homoplastic lamellar keratoplasty is a viable alternative to penetrating keratoplasty for certain cap-related corneal problems.
- This technique may simplify treatment and improve outcomes in select patient cases.
