Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty

Emilio Pedrotti,1 Erika Bonacci,1 Arianna De Rossi,1 Jacopo Bonetto,1 Chiara Chierego,1 Adriano Fasolo,1,2 Alessandra De Gregorio,3 Giorgio Marchini1 1Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Policlinico G.B. Rossi, Verona, 37134, Italy;...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Pedrotti E, Bonacci E, De Rossi A, Bonetto J, Chierego C, Fasolo A, De Gregorio A, Marchini G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	deep anterior lamellar keratoplasty femtosecond laser big bubble intrastromal incision lamellar incision Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/588f650cf96d4eec9daaf33f5cd7804d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:588f650cf96d4eec9daaf33f5cd7804d
record_format	dspace
spelling	oai:doaj.org-article:588f650cf96d4eec9daaf33f5cd7804d2021-12-02T14:12:25ZFemtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty1177-5483https://doaj.org/article/588f650cf96d4eec9daaf33f5cd7804d2021-02-01T00:00:00Zhttps://www.dovepress.com/femtosecond-laser-assisted-big-bubble-deep-anterior-lamellar-keratopla-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Emilio Pedrotti,1 Erika Bonacci,1 Arianna De Rossi,1 Jacopo Bonetto,1 Chiara Chierego,1 Adriano Fasolo,1,2 Alessandra De Gregorio,3 Giorgio Marchini1 1Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Policlinico G.B. Rossi, Verona, 37134, Italy; 2Research Unit, The Veneto Eye Bank Foundation, Venezia, 30174, Italy; 3Ophthalmic Unit, San Bassiano Hospital, Bassano Del Grappa, 36061, Vicenza, ItalyCorrespondence: Adriano FasoloThe Veneto Eye Bank Foundation, c/o Pad. G. Rama, via Paccagnella 11, Venice, 30174, ItalyTel +390419656400Fax +390419656401Email adriano.fasolo@yahoo.itPurpose: To determine whether type 1 big-bubble (BB) formation is influenced by the sequence of incisions created with the Victus femtosecond laser (FSL) enabled with software version 3.4 (SV 3.4) during deep anterior lamellar keratoplasty (DALK).Materials and Methods: Consecutive FSL-assisted DALK BB procedures were performed on 20 human donor corneas: 10 shaped by tunnel incision followed by lamellar incision (tunnel-lamellar group, TL) and 10 in the reverse order (lamellar-tunnel group, LT). The BB type was assessed by evaluating dynamic air movement during air inflation; bubble diameter and floor thickness were measured by anterior segment optical coherence tomography.Results: Overall, a type 1 BB formed in 85% of eyes: 100% in the TL group and 70% in the LT group. In the LT group, a type 2 BB formed in 2 corneas and one cornea was perforated during cannula insertion. Type 1 BB was achieved after one attempt in 90% of eyes in the TL group and in 57% in the LT group.Conclusion: Shaping the tunnel before rather than after lamellar incision may be more effective for obtaining a type 1 BB by air injection.Keywords: deep anterior lamellar keratoplasty, femtosecond laser, big bubble, intrastromal incision, lamellar incisionPedrotti EBonacci EDe Rossi ABonetto JChierego CFasolo ADe Gregorio AMarchini GDove Medical Pressarticledeep anterior lamellar keratoplastyfemtosecond laserbig bubbleintrastromal incisionlamellar incisionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 645-650 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	deep anterior lamellar keratoplasty femtosecond laser big bubble intrastromal incision lamellar incision Ophthalmology RE1-994
spellingShingle	deep anterior lamellar keratoplasty femtosecond laser big bubble intrastromal incision lamellar incision Ophthalmology RE1-994 Pedrotti E Bonacci E De Rossi A Bonetto J Chierego C Fasolo A De Gregorio A Marchini G Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty
description	Emilio Pedrotti,1 Erika Bonacci,1 Arianna De Rossi,1 Jacopo Bonetto,1 Chiara Chierego,1 Adriano Fasolo,1,2 Alessandra De Gregorio,3 Giorgio Marchini1 1Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Policlinico G.B. Rossi, Verona, 37134, Italy; 2Research Unit, The Veneto Eye Bank Foundation, Venezia, 30174, Italy; 3Ophthalmic Unit, San Bassiano Hospital, Bassano Del Grappa, 36061, Vicenza, ItalyCorrespondence: Adriano FasoloThe Veneto Eye Bank Foundation, c/o Pad. G. Rama, via Paccagnella 11, Venice, 30174, ItalyTel +390419656400Fax +390419656401Email adriano.fasolo@yahoo.itPurpose: To determine whether type 1 big-bubble (BB) formation is influenced by the sequence of incisions created with the Victus femtosecond laser (FSL) enabled with software version 3.4 (SV 3.4) during deep anterior lamellar keratoplasty (DALK).Materials and Methods: Consecutive FSL-assisted DALK BB procedures were performed on 20 human donor corneas: 10 shaped by tunnel incision followed by lamellar incision (tunnel-lamellar group, TL) and 10 in the reverse order (lamellar-tunnel group, LT). The BB type was assessed by evaluating dynamic air movement during air inflation; bubble diameter and floor thickness were measured by anterior segment optical coherence tomography.Results: Overall, a type 1 BB formed in 85% of eyes: 100% in the TL group and 70% in the LT group. In the LT group, a type 2 BB formed in 2 corneas and one cornea was perforated during cannula insertion. Type 1 BB was achieved after one attempt in 90% of eyes in the TL group and in 57% in the LT group.Conclusion: Shaping the tunnel before rather than after lamellar incision may be more effective for obtaining a type 1 BB by air injection.Keywords: deep anterior lamellar keratoplasty, femtosecond laser, big bubble, intrastromal incision, lamellar incision
format	article
author	Pedrotti E Bonacci E De Rossi A Bonetto J Chierego C Fasolo A De Gregorio A Marchini G
author_facet	Pedrotti E Bonacci E De Rossi A Bonetto J Chierego C Fasolo A De Gregorio A Marchini G
author_sort	Pedrotti E
title	Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty
title_short	Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty
title_full	Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty
title_fullStr	Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty
title_full_unstemmed	Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty
title_sort	femtosecond laser-assisted big-bubble deep anterior lamellar keratoplasty
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/588f650cf96d4eec9daaf33f5cd7804d
work_keys_str_mv	AT pedrottie femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty AT bonaccie femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty AT derossia femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty AT bonettoj femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty AT chieregoc femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty AT fasoloa femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty AT degregorioa femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty AT marchinig femtosecondlaserassistedbigbubbledeepanteriorlamellarkeratoplasty
_version_	1718391783794147328

Femtosecond Laser-Assisted Big-Bubble Deep Anterior Lamellar Keratoplasty

Ejemplares similares