Higaki Shiro, Hori Yuichi, Maeda Naoyuki, Watanabe Hitoshi, Inoue Yoshitsugu, Shimomura Yoshikazu
Department of Ophthalmology, Kinki University School of Medicine, Osaka, Japan.
Acta Ophthalmol. 2008 Feb;86(1):49-52. doi: 10.1111/j.1600-0420.2007.01004.x. Epub 2007 Sep 4.
To report the longterm results of deep lamellar keratoplasty (DLK) using grafts with their own endothelia.
Fourteen eyes of 14 patients underwent DLK using grafts with endothelium. The average follow-up was approximately 80.0 months. Preoperative diagnoses included: corneal leukoma (five eyes); gelatinous drop-like corneal dystrophy (three eyes); Avellino corneal dystrophy (two eyes); corneal perforation (two eyes); corneal mucopolysaccharidosis (one eye), and keratoconus (one eye).
Corrected visual acuity was improved in 13 eyes (93%), but ruptures of Descemet's membrane occurred in six eyes (43%) and a double anterior chamber was found in five eyes (36%) postoperatively. Despite this, all grafts remained clear as a result of their functioning endothelia.
Deep lamellar keratoplasty using a graft with its own endothelium is a safe and valuable procedure with flexibility and feasibility that should suit corneal surgeons of all levels.
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