Changes in endothelial cell density following penetrating keratoplasty and deep anterior lamellar keratoplasty.
作者信息
Acar Banu Torun, Vural Ece Turan, Acar Suphi
机构信息
Ophthalmology Clinic, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.
出版信息
Int J Ophthalmol. 2011;4(6):644-7. doi: 10.3980/j.issn.2222-3959.2011.06.14. Epub 2011 Dec 18.
Abstract
AIM
To compare the corneal endothelial cell density (ECD) of clear grafts after penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK).
METHODS
The study included 44 and 54 patients treated with PK and DALK, respectively, between March 2006 and April 2010. Corneal ECD was examined using specular microscopy at postoperative 1, 3, 6, 12, and 18 months, and the values were compared.
RESULTS
Corneal ECD reduction in the PK group was 7.4%, 15.2%, 23.5%, and 28.9% at 3, 6, 12 and 18 months respectively after surgery, compared with 4.2 % in the first month (P<0.01). These figures were 3.0%, 6.7%, 7.2%, and 7.7% at 3, 6, 12 and 18 months respectively, compared with 2.2 % in the first month in the DALK group (P>0.05).
CONCLUSION
Compared with DALK, PK significantly reduced ECD of the clear grafts. These results suggest that survival of endothelial cells in grafts is better after DALK than after PK.
摘要
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本文引用的文献
1
Corneal endothelium and postoperative outcomes 15 years after penetrating keratoplasty.
Am J Ophthalmol. 2005 Feb;139(2):311-9. doi: 10.1016/j.ajo.2004.09.045.
2
Endothelial cell density after deep anterior lamellar keratoplasty (Melles technique).
Am J Ophthalmol. 2004 Mar;137(3):397-400. doi: 10.1016/j.ajo.2003.09.053.
3
Randomized clinical trial of deep lamellar keratoplasty vs penetrating keratoplasty.
Am J Ophthalmol. 2002 Aug;134(2):159-65. doi: 10.1016/s0002-9394(02)01523-4.
4
[Chronic endothelial cell loss of the graft after penetrating keratoplasty: influence of endothelial cell migration from graft to host].
Klin Monbl Augenheilkd. 2002 Jun;219(6):410-6. doi: 10.1055/s-2002-32876.
5
Corneal endothelial cell changes twenty years after penetrating keratoplasty.
Jpn J Ophthalmol. 2002 Mar-Apr;46(2):189-92. doi: 10.1016/s0021-5155(01)00485-3.
6
[Regression analysis of idiopathic endothelial cell loss after perforating normal risk keratoplasty: basic principles for long-term analysis of endothelial risk factors in a retrospective clinical study].
Klin Monbl Augenheilkd. 2001 Jun;218(6):412-7. doi: 10.1055/s-2001-16254.
7
Cellular changes in transplanted human corneas.
Cornea. 2001 Aug;20(6):560-9. doi: 10.1097/00003226-200108000-00002.
8
A quick surgical technique for deep, anterior lamellar keratoplasty using visco-dissection.
Cornea. 2000 Jul;19(4):427-32. doi: 10.1097/00003226-200007000-00004.
9
Deep lamellar keratoplasty versus penetrating keratoplasty for corneal lesions.
Cornea. 1999 Mar;18(2):172-5. doi: 10.1097/00003226-199903000-00005.
10
Ten-year postoperative results of penetrating keratoplasty.
Ophthalmology. 1998 Oct;105(10):1855-65. doi: 10.1016/S0161-6420(98)91030-2.
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