title: Modified femtosecond laser-assisted sutureless anterior lamellar keratoplasty.
abstract: A variation of the femtosecond laser-assisted sutureless anterior lamellar keratoplasty technique using a femtosecond laser incision for surgical management of anterior corneal disease is described. Six patients with corneal scars were treated with the laser to create a horizontal lamellar bed interface in the cornea of the donor and recipient eyes, with a manual partial-thickness vertical trephination to complete the excisions. This technique allows matching of donor and host tissue dimensions with precise tissue apposition and greater surface area for healing. No intraoperative adverse events were observed. One patient developed epithelial ingrowth, requiring a successful surgical intervention.
authors.affiliation: Department of Ophthalmology, The Division of Cornea & Anterior Segment, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA. gustavo.bonfadini@yahoo.com.br
authors.forename: Gustavo
authors.initials: G
authors.lastname: Bonfadini
authors.forename: Hamilton
authors.initials: H
authors.lastname: Moreira
authors.forename: Albert S
authors.initials: AS
authors.lastname: Jun
authors.forename: Mauro
authors.initials: M
authors.lastname: Campos
authors.forename: Eun Chul
authors.initials: EC
authors.lastname: Kim
authors.forename: Eduardo
authors.initials: E
authors.lastname: Arana
authors.forename: Márcio
authors.initials: M
authors.lastname: Zapparoli
authors.forename: Jurandir M
authors.initials: JM
authors.lastname: Ribas Filho
authors.forename: Peter J
authors.initials: PJ
authors.lastname: McDonnell
mesh_terms: D000328:Adult; D000368:Aged; D003316:Corneal Diseases / Q000601:surgery*; D016039:Corneal Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014792:Visual Acuity