ESCRS - PP16.10 - An Innovative Approach Of Performing Femtosecond Laser Assisted Endothelial Keratoplasty Using The Salk Mode And Evaluation Of Clinical Outcomes.

An Innovative Approach Of Performing Femtosecond Laser Assisted Endothelial Keratoplasty Using The Salk Mode And Evaluation Of Clinical Outcomes.

Published 2024 - 42nd Congress of the ESCRS

Reference: PP16.10 | Type: Free paper | DOI: 10.82333/sc5g-sq91

Authors: Abhinav Loomba* 1 , Sid GOEL 1 , Andrew Shaker 1

1CORNEA,HULL UNIVERSITY TEACHING HOSPITALS NHS TRUST,HULL,United Kingdom

Purpose

The purpose of this study was to innovatively customise  and use the superficial anterior lamellar keratoplasty mode on the femtosecond laser platform for performing femtosecond laser assisted endothelial keratoplasty and evaluating clinical outcomes.

Setting

All patients involved in this series were assessed, managed and followed up by clinical members of the corneal team at the Hull Royal Eye Hospital.

Methods

Femtosecond laser was used for graft preparation in 5 patients undergoing endothelial keratoplasty. Donor cornea was mounted on an artificial anterior chamber and docked on the femtosecond laser platform. Superficial anterior lamellar keratoplasty mode was selected and customised to prepare a thin  graft for endothelial keratoplasty. Graft was separated, punched and endothelial keratoplasty was completed successfully. Clinical outcomes were measured over a 3 month post-operative period.

Results

All grafts where successfully prepared using the customised SALK mode on the femtosecond laser eliminating the need for a manual dissection. Patients had a good visual outcome over the follow up period with one instance of post-op CMO.

Conclusions

The use of customised SALK mode on Femtosecond laser provides an innovative and successful method of constantly preparing thin grafts thereby avoiding the need for manual dissection and related complications.