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مقاله
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Abstract
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Title:
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Femto-Assisted Sutureless Anterior Lamellar Keratoplasty: Report of 19 Cases
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Author(s):
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Mahmoud Jabbarvand, Hesam Hashemian, Ahmad Salamat Rad, Mehdi Khodaparast, Elias Khalili Pour
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Presentation Type:
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Oral
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Subject:
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Cornea and Anterior Segment
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Others:
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Presenting Author:
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Name:
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Hesam Hashemian
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Affiliation :(optional)
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Ophthalmology research center, Farabi Eye Hospital, Tehran university of medical sciences
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E mail:
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shhlucky@yahoo.com
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Phone:
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Mobile:
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09126805097
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Purpose:
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To report the outcomes of sutureless femtosecond-assisted anterior lamellar keratoplasty (FALK) to treat anterior corneal pathologies.
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Methods:
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The study is a prospective case series of patients with anterior corneal opacities. All the patients underwent FALK. Anterior segment ocular coherence tomography was performed preoperatively to estimate the depth of corneal scar. We evaluated visual and refractive outcomes, Pentacam imaging (Oculus), corneal biomechanical profile, endothelial cell count, and ocular aberrometry was performed preoperatively and in postoperative visits. We also evaluated ocular surface condition preoperatively and in postoperative visits.
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Results:
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Nineteen eyes were included in the study. Both corrected and uncorrected vision improved significantly postoperatively. Spherical refraction did not change after FALK. Although corneal hysteresis reduced significantly at one year follow up compared to preoperative value; other variables of corneal biomechanical profile and endothelial cell count experienced no significant changes. Corneal aberrations were stable during the follow up period. Although Schirmer and TBUT decreased and tear osmolarity increased significantly after operation they returned to preoperative values after one year follow up.
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Conclusion:
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FALK is an efficient and safe procedure for vision improvement in patients with anterior corneal pathologies. Its results remain stable after the operation. It has no negative effect on ocular surface or corneal endothelium.
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Attachment:
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