Dr. ALOK SATI

Dr.Sanjay Kumar Mishra

Abstract

Purpose: To evaluate the outcomes of suture less pre-descemetic deep anterior lamellar keratoplasty (DALK) assisted by femtosecond laser (FL). Method: Prospective, nonrandomized clinical study. Ten eyes with corneal scar underwent DALK. FL was used to create cuts on both donor and recipient corneas. Outcome measures include BCVA, keratometry and complications. Results: Mean age of 10 patients (6 male and 4 female) was 64.7 ± 17.7 years with a mean follow-up of 9.2 ± 2.0 months. Mean corneal thickness at thinnest site and mean depth of corneal scar was 376± 53mm and 328± 51mm respectively. Mean thickness/ diameter of donor and recipient lenticules were 370±102 mm/7.5±0.2 mm and 325±90 mm/7.5±0.2 mm respectively. Mean BCVA and mean astigmatism at 6 months postop were 0.47±0.16 (log MAR) and 2.1±0.16 respectively. No intra and postoperative complications. Conclusion: Suture less FL assisted DALK is a novel technique with absence of suture related complications.

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