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Case report: femtosecond laser-assisted small incision deep lamellar endothelial keratoplasty.

Lee DH, Chung TY, Chung ES, Azar DT - Korean J Ophthalmol (2008)

Bottom Line: In Case 1, the graft was clear and compact without interface haze, Orbscan showed smooth and regular corneal surface, specular microscopy was unremarkable without sign of corneal endothelial damage, and Optical coherence tomography showed uniform graft well attached to recipient stroma with minimal interface reflection at 2 months postoperation.In Case 2, the graft was clear and compact with minimal interface haze at 1 month postoperation.Femtosecond laser-assisted small incision DLEK was safe and technically feasible in our cases; however, further evaluation is required to determine long-term effects.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report two cases of femtosecond laser-assisted small incision deep lamellar endothelial keratoplasty (DLEK) for patients with corneal endothelial decompensation by Fuchs dystrophy and glaucoma

Methods: Femtosecond laser (IntraLase; IntraLase Corp., Irvine, CA) with 15 kHz of repetition rate, was used for a 9.5 mm diameter by 400 micrometer thickness donor corneal lamellar dissection.

Results: In Case 1, the graft was clear and compact without interface haze, Orbscan showed smooth and regular corneal surface, specular microscopy was unremarkable without sign of corneal endothelial damage, and Optical coherence tomography showed uniform graft well attached to recipient stroma with minimal interface reflection at 2 months postoperation. In Case 2, the graft was clear and compact with minimal interface haze at 1 month postoperation. Femtosecond laser-assisted small incision DLEK was safe and technically feasible in our cases; however, further evaluation is required to determine long-term effects.

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Optical coherence tomography (OCT) of a 73-year-old male two months after femtosecond laser-assisted small incision DLEK surgery. Vertical (A) and horizontal (B) OCT of the cornea show compact and uniform graft which is well attached to recipient stroma with minimal interface reflection (Arrowheads).
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Figure 3: Optical coherence tomography (OCT) of a 73-year-old male two months after femtosecond laser-assisted small incision DLEK surgery. Vertical (A) and horizontal (B) OCT of the cornea show compact and uniform graft which is well attached to recipient stroma with minimal interface reflection (Arrowheads).

Mentions: At two months postoperation, the graft was clear and compact without interface haze (Fig. 2A). UCVA and BSCVA was 20/150 and 20/100 respectively and manifest refraction was +2.75 -1.00×50. Corneal topography showed smooth and regular corneal surface and specular microscopy was unremarkable without sign of corneal endothelial damage (Fig. 2B and C). Optical coherence tomography (OCT) findings showed compact and uniform graft, well attached to the recipient stromal bed with minimal interface reflection (Fig. 3).


Case report: femtosecond laser-assisted small incision deep lamellar endothelial keratoplasty.

Lee DH, Chung TY, Chung ES, Azar DT - Korean J Ophthalmol (2008)

Optical coherence tomography (OCT) of a 73-year-old male two months after femtosecond laser-assisted small incision DLEK surgery. Vertical (A) and horizontal (B) OCT of the cornea show compact and uniform graft which is well attached to recipient stroma with minimal interface reflection (Arrowheads).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629952&req=5

Figure 3: Optical coherence tomography (OCT) of a 73-year-old male two months after femtosecond laser-assisted small incision DLEK surgery. Vertical (A) and horizontal (B) OCT of the cornea show compact and uniform graft which is well attached to recipient stroma with minimal interface reflection (Arrowheads).
Mentions: At two months postoperation, the graft was clear and compact without interface haze (Fig. 2A). UCVA and BSCVA was 20/150 and 20/100 respectively and manifest refraction was +2.75 -1.00×50. Corneal topography showed smooth and regular corneal surface and specular microscopy was unremarkable without sign of corneal endothelial damage (Fig. 2B and C). Optical coherence tomography (OCT) findings showed compact and uniform graft, well attached to the recipient stromal bed with minimal interface reflection (Fig. 3).

Bottom Line: In Case 1, the graft was clear and compact without interface haze, Orbscan showed smooth and regular corneal surface, specular microscopy was unremarkable without sign of corneal endothelial damage, and Optical coherence tomography showed uniform graft well attached to recipient stroma with minimal interface reflection at 2 months postoperation.In Case 2, the graft was clear and compact with minimal interface haze at 1 month postoperation.Femtosecond laser-assisted small incision DLEK was safe and technically feasible in our cases; however, further evaluation is required to determine long-term effects.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report two cases of femtosecond laser-assisted small incision deep lamellar endothelial keratoplasty (DLEK) for patients with corneal endothelial decompensation by Fuchs dystrophy and glaucoma

Methods: Femtosecond laser (IntraLase; IntraLase Corp., Irvine, CA) with 15 kHz of repetition rate, was used for a 9.5 mm diameter by 400 micrometer thickness donor corneal lamellar dissection.

Results: In Case 1, the graft was clear and compact without interface haze, Orbscan showed smooth and regular corneal surface, specular microscopy was unremarkable without sign of corneal endothelial damage, and Optical coherence tomography showed uniform graft well attached to recipient stroma with minimal interface reflection at 2 months postoperation. In Case 2, the graft was clear and compact with minimal interface haze at 1 month postoperation. Femtosecond laser-assisted small incision DLEK was safe and technically feasible in our cases; however, further evaluation is required to determine long-term effects.

Show MeSH
Related in: MedlinePlus