Long-term Outcomes of Deep Anterior Lamellar Keratoplasty in Macular Corneal Dystrophy—A Retrospective Analysis
Purpose: To study the long-term outcomes and complications in patients who underwent deep anterior lamellar keratoplasty (DALK) for macular corneal dystrophy (MCD). Methods: This is a retrospective analysis of all patients who underwent DALK in a tertiary eye care hospital in South India from 2011 t...
| Published in: | TNOA Journal of Ophthalmic Science and Research |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-06-01
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| Subjects: | |
| Online Access: | https://journals.lww.com/tnoa/fulltext/2024/04000/long_term_outcomes_of_deep_anterior_lamellar.6.aspx |
| Summary: | Purpose:
To study the long-term outcomes and complications in patients who underwent deep anterior lamellar keratoplasty (DALK) for macular corneal dystrophy (MCD).
Methods:
This is a retrospective analysis of all patients who underwent DALK in a tertiary eye care hospital in South India from 2011 to 2020. A total of 51 eyes of 33 patients were evaluated. All eyes underwent successful DALK by big bubble technique (32 eyes) or layer-by-layer dissection (19 eyes). Patients were followed up for 18 months to 9 years.
Results:
There was a significant improvement in vision (uncorrected and best-corrected visual acuity) post-DALK. The best corrected visual acuity after surgery was 0.3 logMAR (20/40) or better in 66.7% of operated eyes. Complications noted during surgery were intra-operative perforation. Post-operative complications include double AC, cataract, raised intraocular pressure, interface vessels and recurrence of the dystrophy.
Conclusion:
DALK is a safe and viable procedure for MCD management and gives good visual outcomes. |
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| ISSN: | 2589-4528 2589-4536 |