Femtosecond Laser Assisted Deep Anterior Lamellar Keratoplasty Outcomes and Healing Patterns Compared to Manual TechniqueReport as inadecuate




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BioMed Research International - Volume 2015 2015, Article ID 397891, 6 pages -

Clinical Study

Vissum Corporation, 03016 Alicante, Spain

Division of Ophthalmology, Miguel Hernandez University, Alicante, Spain

Ophthalmology Department, Faculty of Medicine, Minia University, Minia 61111, Egypt

Barraquer University Institute, Autonomous University of Barcelona, Barcelona, Spain

Received 18 May 2015; Accepted 24 July 2015

Academic Editor: Vasilios F. Diakonis

Copyright © 2015 Jorge L. Alio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of the study is to report the visual, refractive, and wound healing pattern outcomes of femtosecond assisted deep anterior lamellar keratoplasty DALK compared to the conventional manual technique. DALK was performed on 50 eyes of 47 advanced keratoconus patients. The patients were divided into two groups, 25 eyes each, depending on whether femtosecond assisted or manual DALK technique was performed for the side cut of the procedure only. Patients were followed up at 1 month, 6 months, and 1 year for visual acuity, clinical refraction, corneal cylinder, date of suture removal, and side cut corneal healing pattern according to new grading classification of the side cut scar Grade 0 = transparent scar, 1 = faint healing opacity, 2 = evident healing opacity, 3 = significant opacity with some cosmetic imbalance, and 4 = highly significant opacity with very significant cosmetic imbalance. Outcomes are reported at one year. In conclusion, femtosecond assisted and manual DALK show comparable visual and refractive outcomes but femtosecond assisted DALK shows more evident corneal wound healing patterns at the side cut. This observation may indicate that an activated cornea wound healing might allow earlier suture removal when femtosecond technology is used to perform the side cut for DALK.





Author: Jorge L. Alio, Ahmed A. Abdelghany, Rafael Barraquer, Laila M. Hammouda, and Ahmed M. Sabry

Source: https://www.hindawi.com/



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