Intrastromal Descemet Membrane Transplantation as a Potential Alternative to Bowman Layer Inlays in Eyes With Advanced Keratoconus.
Journal
Eye & contact lens
ISSN: 1542-233X
Titre abrégé: Eye Contact Lens
Pays: United States
ID NLM: 101160941
Informations de publication
Date de publication:
01 Apr 2021
01 Apr 2021
Historique:
accepted:
25
08
2020
pubmed:
13
10
2020
medline:
19
8
2021
entrez:
12
10
2020
Statut:
ppublish
Résumé
Herein, we report the outcomes of intrastromal Descemet membrane (DM) transplantation in corneas with advanced keratoconus. Three eyes (three patients) showed advanced keratoconus. No eye underwent prior UV-cross-linking or any other ocular surgery. In all eyes, A donor DM was implanted into a mid-stromal pocket and clinical outcomes were evaluated up to 24 months after surgery. All procedures were uneventful. Up to 24 months postoperatively, the DM graft was well-positioned and barely visible within the recipient stroma; all corneas were clear. No eye showed signs of keratoconus progression throughout the follow-up. No changes were observed in uncorrected and best contact lens corrected visual acuity, central endothelial cell density, corneal thinnest point pachymetry, and maximum keratometry values. No early or late postoperative complications were observed. Intrastromal DM transplantation may be an alternative to intrastromal Bowman layer transplantation in advanced keratoconus, to postpone deep anterior lamellar or penetrating keratoplasty.
Identifiants
pubmed: 33044374
pii: 00140068-202104000-00013
doi: 10.1097/ICL.0000000000000749
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
223-225Informations de copyright
Copyright © 2020 Contact Lens Association of Ophthalmologists.
Déclaration de conflit d'intérêts
G. Melles is a consultant for DORC International/Dutch Ophthalmic USA and SurgiCube International. The remaining authors have no funding or conflicts of interest to disclose.
Références
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