Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus

Abstract We describe a modified allogenic intrastromal lenticule implantation technique for management of keratoconus (KCN). Patients with advanced KCN already scheduled for corneal transplantation were enrolled. An allogenic corneal lenticule was implanted inside a stromal pocket created by femtose...

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Autores principales: Mohammad-Reza Jafarinasab, Yasaman Hadi, Goldis Espandar
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Lenguaje:EN
Publicado: Knowledge E 2021
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Acceso en línea:https://doaj.org/article/0a2fcfcdbb3f4f0eb1700b26a74e747e
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spelling oai:doaj.org-article:0a2fcfcdbb3f4f0eb1700b26a74e747e2021-11-09T08:05:35ZFemtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus2008-20102008-322X10.18502/jovr.v16i4.9761https://doaj.org/article/0a2fcfcdbb3f4f0eb1700b26a74e747e2021-10-01T00:00:00Zhttps://doi.org/10.18502/jovr.v16i4.9761https://doaj.org/toc/2008-2010https://doaj.org/toc/2008-322XAbstract We describe a modified allogenic intrastromal lenticule implantation technique for management of keratoconus (KCN). Patients with advanced KCN already scheduled for corneal transplantation were enrolled. An allogenic corneal lenticule was implanted inside a stromal pocket created by femtosecond laser. In three cases, the estimated refractive error of the recipient eyes was corrected on the donor lenticules using an Excimer laser. All operated eyes underwent corneal crosslinking at the time of surgery. This method was named “Femtosecond Laser-assisted Allogenic Stromal Keratoplasty Without and With Excimer Laser-assisted Donor Keratomileusis”; briefly called FASK and FASK Plus EDK, respectively. Two out of five patients were satisfied with the results. There was a decrease in the average simulated keratometric values as well as myopia when FASK Plus EDK was performed. Increased corneal thickness was achieved in all cases. Graft edema gradually decreased over weeks but interface wrinkling and lenticule folds in the visual axis remained as a problem during follow-up period. No other complications were encountered.Mohammad-Reza JafarinasabYasaman HadiGoldis EspandarKnowledge EarticleallogenicectasiakeratoconusOphthalmologyRE1-994ENJournal of Ophthalmic & Vision Research, Vol 16, Iss 4, Pp 691-697 (2021)
institution DOAJ
collection DOAJ
language EN
topic allogenic
ectasia
keratoconus
Ophthalmology
RE1-994
spellingShingle allogenic
ectasia
keratoconus
Ophthalmology
RE1-994
Mohammad-Reza Jafarinasab
Yasaman Hadi
Goldis Espandar
Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus
description Abstract We describe a modified allogenic intrastromal lenticule implantation technique for management of keratoconus (KCN). Patients with advanced KCN already scheduled for corneal transplantation were enrolled. An allogenic corneal lenticule was implanted inside a stromal pocket created by femtosecond laser. In three cases, the estimated refractive error of the recipient eyes was corrected on the donor lenticules using an Excimer laser. All operated eyes underwent corneal crosslinking at the time of surgery. This method was named “Femtosecond Laser-assisted Allogenic Stromal Keratoplasty Without and With Excimer Laser-assisted Donor Keratomileusis”; briefly called FASK and FASK Plus EDK, respectively. Two out of five patients were satisfied with the results. There was a decrease in the average simulated keratometric values as well as myopia when FASK Plus EDK was performed. Increased corneal thickness was achieved in all cases. Graft edema gradually decreased over weeks but interface wrinkling and lenticule folds in the visual axis remained as a problem during follow-up period. No other complications were encountered.
format article
author Mohammad-Reza Jafarinasab
Yasaman Hadi
Goldis Espandar
author_facet Mohammad-Reza Jafarinasab
Yasaman Hadi
Goldis Espandar
author_sort Mohammad-Reza Jafarinasab
title Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus
title_short Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus
title_full Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus
title_fullStr Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus
title_full_unstemmed Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty With or Without Excimer Laser Donor Keratomileusis for Management of Keratoconus
title_sort femtosecond laser-assisted allogenic additive stromal keratoplasty with or without excimer laser donor keratomileusis for management of keratoconus
publisher Knowledge E
publishDate 2021
url https://doaj.org/article/0a2fcfcdbb3f4f0eb1700b26a74e747e
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AT yasamanhadi femtosecondlaserassistedallogenicadditivestromalkeratoplastywithorwithoutexcimerlaserdonorkeratomileusisformanagementofkeratoconus
AT goldisespandar femtosecondlaserassistedallogenicadditivestromalkeratoplastywithorwithoutexcimerlaserdonorkeratomileusisformanagementofkeratoconus
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