Long-term results of interlamellar keratoplasty for surgical correction of high myopia and astigmatism

• Main Authors: M A Frolov, P A Gonchar, V I Barashkov, V Kumar, A M Frolov, K A Kazakova, N S Morozova
• Format: Article
• Language: English
• Published: Peoples’ Friendship University of Russia (RUDN University) 2011-09-01
• Series: RUDN Journal of Medicine
• Subjects: роговица; межслойная; секторальная; кератопластика; миопия; астигматизм; коррекция; пересадка; рефракция; имплантат
• Online Access: http://journals.rudn.ru/medicine/article/view/3283
• ISSN: 2313-0245; 2313-0261

The Department of eye diseases and ophthalmology of Peoples' Friendship University of Russian has devised a method of the interlamellar circular, tunnel and sectoral keratoplasty for surgical correction of myopia and astigmatism of high degrees. In this article we have analyzed the results of our method. In total 140 operations were performed on 99 patients with follow-up period up to 13 years. 443 alloimplants were transplanted into the layers of the cornea and in 96.83% of cases (429 implants) transparent engraftment of the implants was achieved. Interlamellar keratoplasty is applied for correction of high myopia from 8.5 diopters up to 17.0 diopters; simple, complex myopic and mixed astigmatism from 3.5 diopters up to 9.5 diopters. The significant advantages of the interlamellar keratoplasty are: small trauma, lack of deep incisions of the cornea, the intact optical center of the cornea 6,0 mm, controllability of the refractive effect by replacing of alloimplants or their complete removal, if it is necessary, without any consequences for cornea.