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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2008, Number 1

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Rev Mex Oftalmol 2008; 82 (1)

Comparación postoperatoria mediante microscopía confocal de queratoplastía lamelar profunda realizada con dos técnicas quirúrgicas: disección por burbuja de aire vs láser de femtosegundos

Ramírez FM, Naranjo-Tackman R
Full text How to cite this article

Language: Spanish
References: 21
Page: 34-37
PDF size: 113.96 Kb.


Key words:

Lamellar keratoplasty, confocal, femtoseconds.

ABSTRACT

Purpose: To compare the corneal confocal microscopy findings after deep lamellar keratoplasty between the air bubble technique and the femtosoconds surgical laser technique.
Methods: 10 eyes that had undergone air bubble dissection technique (group A) and 11 eyes that had undergone femtoseconds laser technique (group B) were examined all at 1 month after surgery with the confocal microscopy. Findings were compared between both groups.
Results: Hipper-reflective particles were found in 100% of bought groups at the donor- host interface. Particles were bigger in group A than in group B. Folds were found at the deeper portion of the corneal donor stroma.
Conclusion: We assume that the finding of smaller interface particles with the femtoseconds' laser means less corneal stroma trauma by using this technique.


REFERENCES

  1. Shimmura S, Tsubota K. Deep lamellar keratoplasty. Am J Ophthalmol 2006; 141:352-3.

  2. Moller HU, Ehlers N. Early treatment of granular dystrophy (Groenouw type I). Acta Ophthalmol (Copenh) 1985; 63:597-600.

  3. Tanabe U, Fujiki K, Ogawa A, Ueda S, Kanai A. Prevalence of keratoconus patients in Japan. Nippon Ganka Gakkai Zasshi 1985; 89:407-11.

  4. Susel RM. Corneal transplant donation. Md Med J 1985;34:588-9.

  5. Samples JR, Binder PS. Visual acuity, refractive error, and astigmatism following corneal transplantation for pseudophakic bullous keratopathy. Ophthalmology 1985; 92:1554-60.

  6. Anwar M, Teichmann KD. Deep lamellar keratoplasty: surgical techniques for anterior lamellar keratoplasty with and without baring of Descemet’s membrane. Cornea 2002;21:374-83.

  7. Jonas JB. Intrastromal lamellar femtosecond laser keratoplasty with superficial flap. Br J Ophthalmol 2003; 87:1195.

  8. Seitz B, Langenbucher A, Hofmann-Rummelt C, Schlotzer-Schrehardt U, Naumann GO. Nonmechanical posterior lamellar keratoplasty using the femtosecond laser (femto-plak) for corneal endothelial decompensation. Am J Ophthalmol 2003;136:769-72.

  9. Chen L, Chen J, Feng C, Luan S. Lamellar keratoplasty for treatment of corneal dermoid. Yan Ke Xue Bao 1993; 9:213-5.

  10. Suwan-Apichon O, Reyes JM, Griffin NB, Barker J, Gore P, Chuck RS. Microkeratome Versus Femtosecond Laser Predissection of Corneal Grafts for Anterior and Posterior Lamellar Keratoplasty. Cornea 2006; 25:966-968.

  11. Erie JC, Patel SV, McLaren JW, Ramirez M, Hodge DO, Maguire LJ et ay cols. Effect of myopic laser in situ keratomileusis on epithelial and stromal thickness: a confocal microscopy study. Ophthalmology 2002; 109:1447-52.

  12. Kauffmann T, Bodanowitz S, Hesse L, Kroll P. Corneal reinnervation after photorefractive keratectomy and laser in situ keratomileusis: an in vivo study with a confocal videomicroscope. Ger J Ophthalmol 1996; 5:508-12.

  13. Ramirez M, Hernandez-Quintela E, Sanchez-Huerta V, Naranjo-Tackman R. Confocal microscopy of corneal flap microfolds after LASIK. J Refract Surg 2006; 22:155-8.

  14. Slowik C, Somodi S, Richter A, Guthoff R. Assessment of corneal alterations following laser in situ keratomileusis by confocal slit scanning microscopy. Ger JOphthalmol 1996;5:526-31.

  15. Mitooka K, Ramirez M, Maguire LJ, Erie JC, Patel SV, McLaren JW y cols. Keratocyte density of central human cornea after laser in situ keratomileusis. Am JOphthalmol 2002;133:307-14.

  16. Hirst LW, Vandeleur KW Jr. Laser in situ keratomileusis interface deposits. JRefract Surg 1998; 14:653-4.

  17. Kaufman SC, Maitchouk DY, Chiou AG, Beuerman RW. Interface inflammation after laser in situ keratomileusis. Sands of the Sahara syndrome. J Cataract Refract Surg 1998; 24:1589-93.

  18. Dawson DG, Holley GP, Geroski DH, Waring GO 3rd, Grossniklaus HE, Edelhauser HF. Ex vivo confocal microscopy of human LASIK corneas with histologic and ultrastructural correlation. Ophthalmology 2005; 112:634-44.

  19. Lam DS, Leung AT, Wu JT, Cheng AC, Fan DS, Rao SK y cols. Management of severe flap wrinkling or dislodgment after laser in situ keratomileusis. JCataract Refract Surg 1999;25:1441-7.

  20. Kohnen T, Buhren J, Baumeister M. Confocal microscopic imaging of reticular folds in a laser in situ keratomileusis flap. J Refract Surg 2001; 17:689-91.

  21. Charman WN. Mismatch between flap and stromal areas after laser in situ keratomileusis as source of flap striae. J Cataract Refract Surg 2002; 28:2146-52.




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Rev Mex Oftalmol. 2008;82