rss
Br J Ophthalmol 2005;89:1597-1600 doi:10.1136/bjo.2005.072215
  • Clinical science
    • Extended reports

Deep lamellar keratoplasty by deep parenchyma detachment from the corneal limbs

  1. T Senoo1,
  2. K Chiba1,
  3. O Terada1,
  4. J Mori1,
  5. M Kusama1,
  6. K Hasegawa2,
  7. Y Obara1
  1. 1Dokkyo University School of Medicine, Department of Ophthalmology, Japan
  2. 2International University of Health and Welfare, Japan
  1. Correspondence to: Tadashi Senoo 321-0293, 880 Kitakobayashi Mibu, Tochigi/Japan, Dokkyo University School of Medicine, Department of Ophthalmology, Tochigi, Japan; senoodokkyomed.ac.jp
  • Accepted 1 July 2005

Abstract

Aim: To improve the deep lamellar keratoplasty technique.

Method: For the easy and reliable perfomance of deep lamellar keratoplasty (DLKP), detachment of Descemet’s membrane through the corneal limber flap was improved. To expose Descemet’s membrane, the parenchyma was detached by hydrodelamination through a sclerocorneal flap made in the corneal limbs. The parenchyma was removed after the pseudochamber between it and Descemet’s membrane was maintained with viscoelastic material. The corneal graft was placed with a running suture. 22 eyes were treated.

Results: Complete exposure of Descemet’s membrane was obtained in 20 of the 22 eyes (91%). The membrane was perforated in five of the 22 eyes (23%) during surgery, and two of the 22 eyes (9%) were converted to penetrating keratoplasty. These two eyes developed keratoconus after acute corneal hydrops.

Conclusion: Compared with the conventional procedure, this new method provides easy, reliable exposure of Descemet’s membrane.

Footnotes

    Responses to this article

    • Deep lamellar keratoplasty by deep parenchyma detachment from the corneal limbs
      • Marco Nardi,
      • Gianluca Guidi, Marino De Luca
      Br J Ophthalmol published online September 14, 2009

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Social bookmarking

    Register for free content


    Free sample
     This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of BJO.
    View free sample issue >>

    Free archive
    The full back archive is now available for BJO. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006, back to volume 1 issue 1.
    Register to access the free archive >>

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.