Abstract:
PURPOSE:To find the level of dissection in keratoconic corneas undergoing deep anterior lamellar keratoplasty (DALK) using the big-bubble technique. METHODS:In 3 keratoconic eyes that underwent DALK, the operation was converted into penetrating keratoplasty after complete big-bubble formation because of extensive tear in Descemet's membrane (DM) during stromal excision. The corneal stroma and DM taken from these eyes were submitted for light and transmission electron microscopy. RESULTS:Both light and transmission electron microscope revealed a thin layer of corneal stroma adhered to DM in all cases. In 2 eyes, the residual stromal thickness was almost constant (6.4 μm and 12.3 μm), whereas it varied from 9.5 μm to 25.8 μm in the other one. CONCLUSION:Dissection plane in DALK using the big-bubble technique can be within corneal stroma rather than exactly between stroma and DM. Various corneal pathologies as well as different techniques of dissection may have influence on this level.
journal_name
Corneajournal_title
Corneaauthors
Jafarinasab MR,Rahmati-Kamel M,Kanavi MR,Feizi Sdoi
10.1097/ICO.0b013e3181ba7016subject
Has Abstractpub_date
2010-04-01 00:00:00pages
388-91issue
4eissn
0277-3740issn
1536-4798journal_volume
29pub_type
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