"Top hat"-shaped penetrating keratoplasty using the femtosecond laser.

Abstract:

PURPOSE:To determine the feasibility of using a modified femtosecond laser to perform penetrating corneal resections. DESIGN:Controlled laboratory study. METHODS:Fourteen corneoscleral rims were mounted on an artificial anterior chamber. Eight underwent traditional penetrating keratoplasty (PKP) and six underwent "top hat"-shaped PKP using a femtosecond laser. Wound leakage pressure and induced astigmatism were compared between the two groups. RESULTS:Deep corneal resection with the femtosecond laser was feasible. Wound leakage occurred at 38 +/- 11 mm Hg in the traditional PKP eyes and at 240 +/- 69 mm Hg in the laser-shaped PKP groups. Initial induced astigmatism was 3.76 +/- 0.82 diopters and 3.46 +/- 1.36 diopters in the traditional and shaped PKP groups, respectively. CONCLUSIONS:Shaped PKP using the femtosecond laser is feasible and provides superior incision integrity compared to traditional PKP. Initial induced astigmatism is dominated by suture effects.

journal_name

Am J Ophthalmol

authors

Steinert RF,Ignacio TS,Sarayba MA

doi

10.1016/j.ajo.2006.11.043

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

689-91

issue

4

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(06)01329-8

journal_volume

143

pub_type

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