Long-term outcomes of femtosecond laser-assisted mushroom configuration deep anterior lamellar keratoplasty

Cornea
Raneen Shehadeh-MashorDavid S Rootman

Abstract

To review the long-term outcomes after femtosecond laser (FSL)-assisted mushroom configuration deep anterior lamellar keratoplasty (DALK). Noncomparative case series of 19 eyes from 19 patients who underwent FSL-assisted mushroom configuration DALK. Data were available for 14 eyes at 1 month, for 14 at 3 months, for 16 at 6 months, for 10 at 9 months, and for 8 at 1 year. Preoperative mean best-corrected visual acuity was 20/108 (range: 20/30-20/400). At 3 months, the mean best-corrected visual acuity was 20/46 (range: 20/25-20/250), and at a mean final follow-up of 13 months (range: 6-29) it was 20/35 (range: 20/15-20/200). The greatest change in mean spherical equivalent was at 3 months [-2.29 diopters (D), range: -7.38 to +3.38 D; from -9.54 D, range: -20.00 to +3.38 D, preoperatively]. There was 56% reduction in mean keratometric cylinder at 6 months (4.00 D, range: 1.04-8.75 D; from 9.13 D, range: 0.50-18.75 D, preoperatively). Complications included 3 cases (15.8%) of small Descemet membrane perforation, none of which required conversion to penetrating keratoplasty; 3 cases (15.8%) of stromal rejection that resolved with topical steroids; and 6 cases (31.6%) of steroid-related intraocular pressure rise that were treated w...Continue Reading

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Citations

Oct 17, 2014·Eye & Contact Lens·Prafulla K MaharanaRasik B Vajpayee
Dec 15, 2015·Journal of Refractive Surgery·Luca BuzzonettiRosa Parrilla
Apr 18, 2016·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Ladan EspandarSasan Niknam
Jun 13, 2015·Asia-Pacific Journal of Ophthalmology·Juan G ArbelaezFrancis W Price
Jun 2, 2018·Clinical & Experimental Ophthalmology·Matthias FuestJodhbir S Mehta
Apr 30, 2019·Current Opinion in Ophthalmology·Winston D Chamberlain
Dec 18, 2018·Journal of Current Ophthalmology·Mayank A NanavatyCamille Yvon
May 1, 2020·Journal of Ophthalmology·Sang Beom HanJodhbir S Mehta
Jun 17, 2020·International Ophthalmology·Emilio PedrottiGiorgio Marchini
Mar 29, 2020·The British Journal of Ophthalmology·Pranita SahayRasik B Vajpayee
Feb 25, 2021·Clinical Ophthalmology·Emilio PedrottiGiorgio Marchini

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