Abstract
Aim: The aim of the study was to analyze the techniques and outcomes of deep anterior lamellar keratoplasty (DALK) done in eyes with healed hydrops. Methods: Thirty-one eyes with paracentral scars following acute hydrops underwent DALK and were included in the study. Manual layer-by-layer dissection with stromal air injection was done in all cases, keeping dissection of the site of preexisting perforation to the end. Results: Out of the 31 eyes, in 28 eyes, DALK could be completed, and in 3 eyes, procedure had to be converted to penetrating keratoplasty. Visual outcomes in all cases were good, with 26 out of 28 eyes (92.8%) achieving a best-corrected visual acuity (BCVA) of 6/12 or better. Preoperative mean BCVA of LogMAR 1.19 ± 0.27 improved to a postoperative mean BCVA of LogMAR 0.23 ± 0.08 (P < 0.00001). Postoperative mean refractive astigmatism at the last follow-up was -2.69 ± 0.82 D with postoperative a spherical equivalent of -2.31 ± 0.7 D. Complications included double anterior chamber in one eye and secondary angle closure in two eyes. Stromal rejection in one eye was managed with steroids and one eye with suture infiltrate needed selective suture removal. Conclusion: Layer-by-layer dissection with limited air injection into the stroma has shown good visual outcomes in patients undergoing DALK following healed hydrops, and DALK can very well be the primary treatment option even in such cases with a paracentral posthydrops scar.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_242_22
- Journal
- Oman Journal of Ophthalmology, 17(2), 210-213
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Kodavoor, S. K., Soundarya, B., & Dandapani, R. (2024). Outcomes of deep anterior lamellar keratoplasty in eyes with healed hydrops - A retrospective interventional analysis. Oman Journal of Ophthalmology, 17(2), 210-213. https://doi.org/10.4103/ojo.ojo_242_22
MLA 9
Kodavoor, Shreesha Kumar, et al. "Outcomes of deep anterior lamellar keratoplasty in eyes with healed hydrops - A retrospective interventional analysis." Oman Journal of Ophthalmology, vol. 17, no. 2, 2024, pp. 210-213. https://doi.org/10.4103/ojo.ojo_242_22.
Chicago (author–date)
Kodavoor, Shreesha Kumar, B Soundarya, and Ramamurthy Dandapani. 2024. "Outcomes of deep anterior lamellar keratoplasty in eyes with healed hydrops - A retrospective interventional analysis." Oman Journal of Ophthalmology 17 (2): 210-213. https://doi.org/10.4103/ojo.ojo_242_22.
Harvard
Kodavoor, S. K., Soundarya, B. and Dandapani, R. (2024) 'Outcomes of deep anterior lamellar keratoplasty in eyes with healed hydrops - A retrospective interventional analysis', Oman Journal of Ophthalmology, 17(2), pp. 210-213. doi:10.4103/ojo.ojo_242_22.
Vancouver
Kodavoor SK, Soundarya B, Dandapani R. Outcomes of deep anterior lamellar keratoplasty in eyes with healed hydrops - A retrospective interventional analysis. Oman Journal of Ophthalmology. 2024;17(2):210-213. doi:10.4103/ojo.ojo_242_22
IEEE
S. K. Kodavoor, B. Soundarya, and R. Dandapani, "Outcomes of deep anterior lamellar keratoplasty in eyes with healed hydrops - A retrospective interventional analysis," Oman Journal of Ophthalmology, vol. 17, no. 2, pp. 210-213, 2024, doi: 10.4103/ojo.ojo_242_22.