Universität zu Köln

Cursiefen, C., Siebelmann, S. and Bachmann, B. (2015). Complications of deep anterior lamellar keratoplasty. Avoid, recognize and treat. Ophthalmologe, 112 (12). S. 961 - 969. NEW YORK: SPRINGER. ISSN 1433-0423

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Abstract

Deep anterior lamellar keratoplasty (DALK) offers tremendous advantages over penetrating keratoplasty (PK). Intraoperative safety is increased due to reduced opening of the eye interoperatively and the fact that no endothelial graft rejection can take place as the patient's own corneal endothelium is retained. Despite these advantages the number of DALK procedures performed each year in Germany remains constant at a low level. One reason could be that the DALK technique offers some complexity and at the same time intraoperative conversion to PK has to be performed in some cases due to rupture of Descemet's membrane. Moreover, interface-related and DALK-specific complications exist which can contribute to an unfavorable visual outcome. Most of these complications, such as incomplete attachment of Descemet's membrane or opacification within the interface between Descemet's membrane and the posterior corneal stoma can be resolved by adequate measures making PK for revision barely necessary. As visual acuity does not differ between PK and DALK, the benefits of DALK - lack of endothelial immune reaction and increased ocular stability during surgery - outweigh the risk of additional complications and DALK should therefore be performed whenever appropriate.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Cursiefen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siebelmann, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-385181
DOI:	10.1007/s00347-015-0164-x
Journal or Publication Title:	Ophthalmologe
Volume:	112
Number:	12
Page Range:	S. 961 - 969
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BIG-BUBBLE; KERATOCONUS; DALK; REJECTION; LAYER Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38518