Comparison of complications and visual outcomes between big‐bubble deep anterior lamellar keratoplasty and penetrating keratoplasty for fungal keratitis

Background To compare the postoperative complications and visual outcomes of big‐bubble deep anterior lamellar keratoplasty (BB‐DALK) and penetrating keratoplasty (PK) for fungal keratitis (FK). Methods This retrospective study included 94 cases of BB‐DALK for FK and 161 cases of PK for FK from a te...

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Bibliographic Details
Published in:Clinical & experimental ophthalmology 2021-08, Vol.49 (6), p.550-559
Main Authors: Chen, Xiunian, Li, Xiaofeng, Zhang, Xiaoyu, Guo, Xiaoting, Qi, Xiaolin, Li, Suxia, Shi, Weiyun, Gao, Hua
Format: Article
Language:English
Subjects:
Acuity
big‐bubble deep anterior lamellar keratoplasty
Cell density
Corneal transplantation
Endothelial cells
fungal keratitis
Glaucoma
Keratitis
penetrating keratoplasty
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Summary:Background To compare the postoperative complications and visual outcomes of big‐bubble deep anterior lamellar keratoplasty (BB‐DALK) and penetrating keratoplasty (PK) for fungal keratitis (FK). Methods This retrospective study included 94 cases of BB‐DALK for FK and 161 cases of PK for FK from a tertiary ophthalmology care centre. Results The most common FK pathogens were Fusarium (n = 84, 32.9%) and Aspergillus (n = 67, 26.3%). The recurrence rates after BB‐DALK and PK were 3.2 and 5%, respectively (p = 0.723). The follow‐up duration was 31.9 ± 15.8 months in the BB‐DALK group and 33.9 ± 15.0 months in the PK group. The immune rejection rate was significantly lower in the BB‐DALK group than in the PK group (1.1 vs. 18.6%, p 
ISSN:1442-6404
1442-9071
DOI:10.1111/ceo.13951