Visual outcomes after deep anterior lamellar keratoplasty using donor corneas without removal of Descemet membrane and endothelium

Página do item simplificado
dc.citation.issue6
dc.citation.volume79
dc.contributor.authorPrazeres, Tatiana Moura Bastos [UNIFESP]
dc.contributor.authorMuller, Rodrigo
dc.contributor.authorRayes, Tatiana
dc.contributor.authorHirai, Flavio Eduardo [UNIFESP]
dc.contributor.authorSousa, Luciene Barbosa de [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-31T12:47:19Z
dc.date.available2020-07-31T12:47:19Z
dc.date.issued2016
dc.description.abstractPurpose: The optical quality of the interface after deep anterior lamellar keratoplasty (DALK) using the big-bubble technique has been shown to be excellent, leading to results comparable to penetrating keratoplasty. However, there is little in the literature with respect to the controversy surrounding the preparation of the donor cornea. The purpose of this study was to evaluate visual acuity (VA) in patients with keratoconus who underwent DALK without removal of the donor graft endothelium. Methods: The records of 90 patients who underwent DALK without the removal of the Descemet membrane (DM) and endothelium were retrospectively reviewed. Data collected included uncorrected VA (UCVA) and spectacle-corrected VA (SCVA) at 7, 30, 180 days, and 1 year postoperatively. Contact lens-corrected visual acuity (CLVA) was evaluated after 1 year of the procedure. Results: UCVA was significantly better than preoperative values at 7 days (p<0.001), 30 days (p<0.001), 180 days (p<0.001), and 1 year (p<0.001) after surgery. The 1-year postoperative mean SCVA and CLVA also improved when compared with preoperative SCVA (p<0.001 for both). Conclusions: DALK utilizing donor corneas with attached Descemet membrane and endothelium results in satisfactory VA in patients with keratoconus.en
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, Escola Paulista Med EPM, Dept Ophthalmol & Visual Sci, Sao Paulo, SP, Brazil
dc.description.affiliationHosp Oftalmol Sorocaba, Sorocaba, SP, Brazil
dc.description.affiliationUnifespDepartment of Ophthalmology and Visual Sciences, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent366-368
dc.identifierhttp://dx.doi.org/10.5935/0004-2749.20160104
dc.identifier.citationArquivos Brasileiros De Oftalmologia. Sao Paulo, v. 79, n. 6, p. 366-368, 2016.
dc.identifier.doi10.5935/0004-2749.20160104
dc.identifier.fileS0004-27492016000600366.pdf
dc.identifier.issn0004-2749
dc.identifier.scieloS0004-27492016000600366
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56747
dc.identifier.wosWOS:000393022300004
dc.language.isoeng
dc.publisherConsel Brasil Oftalmologia
dc.relation.ispartofArquivos Brasileiros De Oftalmologia
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCorneal diseases/surgeryen
dc.subjectDescemet membrane/surgeryen
dc.subjectCorneal transplantation/methodsen
dc.subjectEndothelium, cornealen
dc.subjectKeratoplasty, penetratingen
dc.subjectKeratonoconus/surgeryen
dc.subjectVisual acuityen
dc.titleVisual outcomes after deep anterior lamellar keratoplasty using donor corneas without removal of Descemet membrane and endotheliumen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S0004-27492016000600366.pdf
Tamanho:
185.9 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos