Femtosecond laser-assisted deep anterior lamellar keratoplasty

Research output: Contribution to journalArticle

Abstract

PURPOSE OF REVIEW: A survey of the recent literature of deep anterior lamellar keratoplasty using femtosecond laser technology. RECENT FINDINGS: There are several recent reports in the literature assessing technique and outcomes of deep anterior lamellar keratoplasty done with a femtosecond laser trephination. Most of these reports are laboratory studies and small case series with short-term outcomes. The laser technology is expensive and may not produce better results than conventional manual techniques. However, there are several theoretical advantages to femtosecond laser incisions in deep anterior lamellar keratoplasty that should be explored, including possible increased success of Descemet's membrane separation from stroma during surgery as well as postsurgical astigmatism benefits, earlier suture removal, and increased wound strength and healing. SUMMARY: Femtosecond laser trephination in the setting of DALK may improve the technique by decreasing the number of descemet's membrane ruptures and improving short-term and long-term outcomes as compared with manual techniques. However, there is no consensus on a standardized approach for wound design or postoperative management. The literature would benefit from a prospective randomized controlled trial.

Original languageEnglish (US)
Pages (from-to)256-263
Number of pages8
JournalCurrent opinion in ophthalmology
Volume30
Issue number4
DOIs
StatePublished - Jul 1 2019

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Corneal Transplantation
Lasers
Trephining
Descemet Membrane
Technology
Astigmatism
Wound Healing
Sutures
Rupture
Randomized Controlled Trials
Wounds and Injuries

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Femtosecond laser-assisted deep anterior lamellar keratoplasty. / Chamberlain, Winston.

In: Current opinion in ophthalmology, Vol. 30, No. 4, 01.07.2019, p. 256-263.

Research output: Contribution to journalArticle

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