Official ESCRS | European Society of Cataract & Refractive Surgeons

Deep anterior lamellar keratoplasty for descemetocele

Session Details

Session Title: Cornea
Session Date/Time: Sunday 22/02/2015 | 08:30-11:00
Paper Time: 09:42
Venue: Hall 2
First Author: : A.Jayarathna SRI LANKA
Co Author(s): :    P. Bandara   A. Peiris   S. Senanayake   L. jayasinghe     

Abstract Details


To describe the short term outcome of DALK for descemetoceles of 8 cases.


Center for sight in teaching Hospital, Kandy, Sri Lanka from 2014 June 15 to 2014 October 15.


Case series of 8 patients underwent DALK for descemetocele. They were transferred to our tertiary care hospital for further management with corneal ulcers and descemetocele due to progressive corneal melting. All the patients were administered with topical and systemic antibiotics in the local hospitals by resident ophthalmologists and no improvement was noted. DALK was performed by manual layer by layer technique. Tectonic integrity and recurrence of the disease were considered for analysis.


During the post operative period, the grafts were clear in all 8 patients, and no recurrence of infection was noticed in any eye. All eyes were tectonically intact.


Deep anterior lamellar keratoplasty should be considered as a therapeutic option in patients with descemetoceles. The technique is challenging, but the outcome is promising as it preserves the host endothelium and increase graft survival.

Financial Disclosure:


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