Surgical Results of Deep Lamellar Keratoplasty.

Kim, Eung Kweon; Lew, He Len; Lee, Jae Bum

Original Article

Journal of the Korean Ophthalmological Society 1997;38(5):739-743.
Published online May 1, 1997.

Surgical Results of Deep Lamellar Keratoplasty.

¹The Institute of Vision Research, College of Medicine, Yonsei university.
²Department of Ophthalmology, College of Medicine, Yonsei university.

심부 표층 각막이식의 수술적 결과

김응권(Eung Kweon Kim),유혜린(He Len Lew),이재범(Jae Bum Lee)

Abstract

We performed the deep lamellar keratoplasties in which stroma about 90% in thickness were removed on 15 patients(12 males and 3 females). The patients included in this study showed deep corneal opacity preserving endothelium intact. During the operation, we experienced microperforation in 3 cases, but no complications were found with immediate closure. After the operation, all patients acquired the corneal clarity except one whose cornea was opaque as the Grade II by the slit lamp examination. The patients had visual improvement of two lines or more in Snellen chart. Three patients had no change of visual acuity and one patient bad astigmatism more than 3D. Only one patient suffered the stromal rejection raction, but improved with the use of oral steroid and topical steroid eye drops.

Key Words: Corneal opacity;Deep lamellar keratoplasty;Rejection