ISSN: 1859 - 2872
Treatment of infectious corneal perforation or descemetocele with deep anterior lamellar keratoplasty
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Abstract
Objective: To evaluate the result of the treatment of infectious corneal perforation or descemetocele with deep anterior lamellar keratoplasty (DALK). Subject and method: A prospective clinical descriptive study on 23 patients (23 eyes) who having DALK for infectious corneal perforation or descemetocele. Result: The patients mean age was 50.09 ± 17.05 with 56.5% of female. Causative agents were virus Herpes simplex: 47.8%, bacteria: 26.1%, fungi: 21.7% and Microsporidia: 4.4%. Eyeball integrity was preserved in all 23 (100%) eyes. Post-operative visual acuity was improved, with 68.56% of the eyes has visual acuity above 20/400. Surgical complications included Descemet rupture: 26.09%, double anterior chamber: 43.48%, and delay re-epithelization: 8.7%. There were 26.09% eyes with graft clarity and 21.7% with hazy graft at the last follow-up. Conclusion: DALK seems to be effective and safe in the treatment of infectious corneal perforation or descemetocele, especially, when we cannot perform penetrating keratoplasty in emergency.
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References
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