In Vivo Confocal Microscopy Findings in Bowman Layer Transplantation.

Abstract:

PURPOSE:To report the in vivo confocal microscopy (IVCM) findings of a case who underwent femtosecond laser-assisted Bowman layer transplantation (BLT). METHODS:This is a case report. RESULTS:In a 25-year-old man with previous diagnosis of keratoconus in whom a BLT was performed using the femtosecond laser-assisted technique, IVCM (Confoscan 4; Fortune Technologies, Vigonza, Italy) was performed 3 months after surgery, obtaining a sequence of 4 digitalized images of the total thickness of the cornea, from the epithelium to the endothelium, and then backward. The images were analyzed with the Navis v. 3.5.0. system (NIDEK, Multi-Instrument Diagnostic System, Japan). In the anterior stroma, before arriving to the graft interphase, activated keratocytes could be observed with higher reflectivity. In this first image of the anterior interphase, a homogenous hyporreflective image could be observed. In the interior of the graft, no keratocytes were found and some hyperreflective particles were present. In addition to the anterior, the posterior interphase presented bright particles. CONCLUSIONS:This is the first report that documents a BLT using IVCM.

journal_name

Cornea

journal_title

Cornea

authors

García de Oteyza G,Vazquez-Romo KA,Hernández-Quintela E,de Wit Carter G,García-Albisua AM

doi

10.1097/ICO.0000000000002561

subject

Has Abstract

pub_date

2020-10-19 00:00:00

eissn

0277-3740

issn

1536-4798

pub_type

杂志文章

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