Non-resolving Descemet folds 2 years following deep anterior lamellar keratoplasty: The impact on visual outcome

Abstract We describe 2 case reports of keratoconus patients showing Descemet's folds persisting more than 2 years after deep anterior lamellar keratoplasty (DLK). One patient had worse best corrected visual acuity postoperatively whereas the other did not improve beyond 6/24. We attribute this...

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Bibliographic Details
Published in:Contact lens & anterior eye 2009-12, Vol.32 (6), p.300-302
Main Authors: Mohamed, S.R.H, Manna, A, Amissah-Arthur, K, McDonnell, P.J
Format: Article
Language:English
Subjects:
Adult
Anterior Eye Segment - injuries
Anterior Eye Segment - surgery
Complication
Deep anterior lamellar keratoplasty
Descemet folds
Descemet Stripping Endothelial Keratoplasty - adverse effects
Humans
Keratoconus
Male
Ophthalmology
Tissue expansion
Treatment Outcome
Vision Disorders - diagnosis
Vision Disorders - etiology
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Summary:Abstract We describe 2 case reports of keratoconus patients showing Descemet's folds persisting more than 2 years after deep anterior lamellar keratoplasty (DLK). One patient had worse best corrected visual acuity postoperatively whereas the other did not improve beyond 6/24. We attribute this to the Descemet's folds. We believe the latter to be a complication following DLK consequent to the degree of localised corneal tissue expansion that may occur in advanced keratoconus in a pathological setting. We also discuss possible mechanisms to try to prevent such a complication.
ISSN:1367-0484
1476-5411
DOI:10.1016/j.clae.2009.08.001