Common complications of deep lamellar keratoplasty in the early phase of the learning curve

Mohamed HosnyOphthalmology Department, Faculty of Medicine, Cairo University, Cairo, EgyptPurpose: To evaluate and record the common complications that face surgeons when they perform their first few series of deep lamellar keratoplasty and measures to avoid these.Setting: Dar El Oyoun Hospital, Cai...

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Autor principal:	Hosny M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e8d447968b034787a11ad965ef87fcf9
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spelling	oai:doaj.org-article:e8d447968b034787a11ad965ef87fcf92021-12-02T06:08:23ZCommon complications of deep lamellar keratoplasty in the early phase of the learning curve1177-54671177-5483https://doaj.org/article/e8d447968b034787a11ad965ef87fcf92011-06-01T00:00:00Zhttp://www.dovepress.com/common-complications-of-deep-lamellar-keratoplasty-in-the-early-phase--a7633https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Mohamed HosnyOphthalmology Department, Faculty of Medicine, Cairo University, Cairo, EgyptPurpose: To evaluate and record the common complications that face surgeons when they perform their first few series of deep lamellar keratoplasty and measures to avoid these.Setting: Dar El Oyoun Hospital, Cairo, Egypt.Methods: Retrospective study of the first 40 eyes of 40 patients carried out by two corneal surgeons working in the same center. All patients were planned to undergo a deep anterior lamellar keratoplasty using the big bubble technique. Twelve patients suffered from keratoconus while 28 patients had anterior corneal pathologies. Recorded complications were classified as either intraoperative or postoperative.Results: Perforation of Descemet&#39;s membrane was the most common intraoperative complication. It occurred in nine eyes (22.5%): five eyes (12.5%) had microperforations while four eyes (10%) had macroperforations, three eyes (7.5%) had central perforations, and six eyes (15%) had peripheral perforations. Other complications included incomplete separation of Descemet&#39;s membrane and remnants of peripheral stromal tissue. Postoperative complications included double anterior chamber which occurred in four eyes (10%) and Descemet&#39;s membrane corrugations. Postoperative astigmatism ranged from 1.25 to 4.5 diopters with a mean of 2.86 diopters in the whole series, but in the six cases with identified residual stroma in the periphery of the host bed, the astigmatism ranged from 2.75 to 4.5 diopters with a mean of 3.62 diopters.Conclusion: Deep lamellar keratoplasty is sensitive to procedural details. Learning the common complications and how to avoid them helps novice surgeons to learn the procedure faster.Keywords: deep lamellar keratoplasty, complications, big bubble techniqueHosny MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 791-795 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Hosny M Common complications of deep lamellar keratoplasty in the early phase of the learning curve
description	Mohamed HosnyOphthalmology Department, Faculty of Medicine, Cairo University, Cairo, EgyptPurpose: To evaluate and record the common complications that face surgeons when they perform their first few series of deep lamellar keratoplasty and measures to avoid these.Setting: Dar El Oyoun Hospital, Cairo, Egypt.Methods: Retrospective study of the first 40 eyes of 40 patients carried out by two corneal surgeons working in the same center. All patients were planned to undergo a deep anterior lamellar keratoplasty using the big bubble technique. Twelve patients suffered from keratoconus while 28 patients had anterior corneal pathologies. Recorded complications were classified as either intraoperative or postoperative.Results: Perforation of Descemet&#39;s membrane was the most common intraoperative complication. It occurred in nine eyes (22.5%): five eyes (12.5%) had microperforations while four eyes (10%) had macroperforations, three eyes (7.5%) had central perforations, and six eyes (15%) had peripheral perforations. Other complications included incomplete separation of Descemet&#39;s membrane and remnants of peripheral stromal tissue. Postoperative complications included double anterior chamber which occurred in four eyes (10%) and Descemet&#39;s membrane corrugations. Postoperative astigmatism ranged from 1.25 to 4.5 diopters with a mean of 2.86 diopters in the whole series, but in the six cases with identified residual stroma in the periphery of the host bed, the astigmatism ranged from 2.75 to 4.5 diopters with a mean of 3.62 diopters.Conclusion: Deep lamellar keratoplasty is sensitive to procedural details. Learning the common complications and how to avoid them helps novice surgeons to learn the procedure faster.Keywords: deep lamellar keratoplasty, complications, big bubble technique
format	article
author	Hosny M
author_facet	Hosny M
author_sort	Hosny M
title	Common complications of deep lamellar keratoplasty in the early phase of the learning curve
title_short	Common complications of deep lamellar keratoplasty in the early phase of the learning curve
title_full	Common complications of deep lamellar keratoplasty in the early phase of the learning curve
title_fullStr	Common complications of deep lamellar keratoplasty in the early phase of the learning curve
title_full_unstemmed	Common complications of deep lamellar keratoplasty in the early phase of the learning curve
title_sort	common complications of deep lamellar keratoplasty in the early phase of the learning curve
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/e8d447968b034787a11ad965ef87fcf9
work_keys_str_mv	AT hosnym commoncomplicationsofdeeplamellarkeratoplastyintheearlyphaseofthelearningcurve
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Common complications of deep lamellar keratoplasty in the early phase of the learning curve

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