1st EuCornea Congress

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1st EuCornea Congress venice, 17-19 june 2010 INVITED SPEAKERS Wylegela, Edward Deep anterior lammelar keratoplasty using Anwar’s technique. E. Wylegela, D. Dobrowolski, D. Janiszewska, A. Nowinska Ophthalmology Department, Railway Hospital Katowice, Poland Purpose: To present the results of deep anterior lammelar keratoplasty (DALK) using ‘big bubble’ technique performed from 2006 to 2010 in Ophthalmology Department, District Railway Hospital in Katowice. Patients and Methods: 60 patients (50 eyes) underwent DALK using ‘big bubble’ technique due to keratoconus, corneal dystrophies and postinflammatory corneal opacification with continue Descemet’s membrane and healthy endothelium. Best corrected visual acuity, main astigmatism, central corneal thickness, endothelium cell density, intra and postoperative complications were assesed. Results: Mean follow up 15.4 months ranged from 11 to 24 months. Mean best corrected acuity averaged equaled 0.6 and ranged from 0.1 to 4.0, mean astigmatism 2.6D, ranged from 1.0D to 2.6D. Mean central corneal thickness was 503.4 Î¼m and ranged from 379 µm to 694 µm, mean endothelium cell density before surgery equaled 2895/ mm2 and postoperatively 2398/ mm2. Intraoperative microperforations in 5 eyes were observed. Conversion to penetrating keratoplasty was needed in 4 patients, incomplete Descemet’s membrane detachment was diagnosed in 3 cases, postoperative disc haze in 3 cases, increase of intraocular preassure in 1 case, early postoperative Descemet’s membrane detachment also in one eye, posterior cataract formation in 4 eyes and in 1 case of permanent mydriasis (Urrets-Zavalia Syndrome). There was no graft rejection observed. Conclusion: Although technically more demanding lammelar keratoplasty, could be consisted as an alternative ‘gold standard’ penetrating keratoplasty. Financial Disclosure: 0 38
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Page 1 and 2: E a 1 st EuCornea Congress Venice 2
Page 3 and 4: Venice 2010 June 17-19 in Joint Mee
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