Femtosecond-laser-assisted Descemet's stripping endothelial keratoplasty.
To our knowledge, we describe the first patient with pseudophakic bullous keratoplasty treated with femtosecond-laser-assisted endothelial keratoplasty. A 5.5 mm corneoscleral tunnel incision was made; after Descemet's membrane was stripped, an 8.0 mm posterior lamellar corneal disk prepared with a femtosecond laser was inserted into the anterior chamber against the recipient cornea without the use of corneal sutures. Four months postoperatively, the posterior corneal disk was clear and the induced astigmatism was 2.1 diopters, demonstrating a functional corneal endothelial layer. The femtosecond laser offers a new surgical approach for minimally invasive endothelial keratoplasty in corneal endothelial disorders.
Cheng
Yanny Y Y
YY
Department of Ophthalmology, University Hospital Maastricht, Maastricht, The Netherlands.
Pels
Elisabeth
E
Nuijts
Rudy M M A
RM
D000369:Aged, 80 and over; D019781:Corneal Topography; D016039:Corneal Transplantation / Q000379:methods*; D003886:Descemet Membrane / Q000601:surgery*; D004728:Endothelium, Corneal / Q000637:transplantation*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D014792:Visual Acuity