Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Daas, L; Hamon, L; Ardjomand, N; Safi, T; Seitz, B.
[Excimer laser-assisted DALK: a case report from the Homburg Keratoconus Center (HKC)].
Ophthalmologe. 2021; 118(12): 1245-1248.
Doi: 10.1007/s00347-021-01342-3
(- Case Report)
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Ardjomand Navid
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- INDICATIONS: The aim of excimer laser-assisted deep anterior lamellar keratoplasty (excimer-DALK) is, as in mechanical DALK, the treatment of keratectasia (keratoconus and pellucid marginal degeneration), stromal scars or stromal corneal dystrophy. A prerequisite for surgery is the absence of (pre‑) Descemet's scars and an intact endothelium. SURGICAL TECHNIQUE: After excimer laser-assisted trephination to 80% of the corneal thickness at the trephination site, intrastromal air injection (so-called big bubble) and lamellar corneal preparation, a lamellar anterior transplantation of the endothelium-free donor tissue is performed. The technique combines the advantages of DALK and excimer laser trephination. We describe the steps of an excimer-DALK from the Homburg Keratoconus Center (HKC). CONCLUSION: Excimer-DALK is a viable treatment option for patients with intact endothelium. In cases of intraoperative perforation, conversion to excimer-perforating keratoplasty (PKP) with all the advantages of excimer laser trephination remains feasible.
- Find related publications in this database (using NLM MeSH Indexing)
- Corneal Transplantation - administration & dosage
- Humans - administration & dosage
- Keratoconus - surgery
- Keratoplasty, Penetrating - administration & dosage
- Lasers, Excimer - therapeutic use
- Treatment Outcome - administration & dosage
- Find related publications in this database (Keywords)
- Eximer laser-assisted trephination
- Deep anterior keratoplasty lamellar keratoplasty
- Pre-Descemet’
- s layer
- Dua’
- s layer
- DALK