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Phacoemulsification with deep anterior lamellar keratoplasty (DALK) in cases of co-existing cataract and endothelium sparing corneal opacification

Poster Details

First Author: N.Sharma INDIA

Co Author(s):    N. Aron                    

Abstract Details

Purpose:

To describe the technique of sequential anterior stromal lamellar dissection followed by phacoemulsification and subsequent DALK in cases of coexisting cataract with endothelium sparing corneal opacity.

Setting:

Tertiary eye care centre

Methods:

In 23 cases of endothelium sparing stromal opacities,ASOCT guided anterior stromal lamellar dissection was done so as to reach a relatively clear plane of stromal dissection so as to aid visualization f underlying structures. This was followed by phacoemulsification and foldable intraocular lens implantation. Subsequently the deep lamellar keratoplasty was done using layer by layer manual dissection baring the descemet's membrane.

Results:

The BCVA of better than 20/40 was obatined in 22 eyes. The endothelial cell loss was 3.2( 2.1 SD)% . There were no intraoperative complications. Mean SEQ was 0.75 +/- 0.25 D. Mean astigmatism was less than 1 D in all eyes.

Conclusions:

DALK is safe and feasible when combimed with phacoemulsification. A sandwich technique of phacoemulsification is advocated between the superficial and deep lamellar dissections.

Financial Disclosure:

NONE

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