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Poster Details

First Author: T.Agarwal INDIA

Co Author(s):    P. Bandivadekar   N. Sharma   J. Titiyal        

Abstract Details


To evaluate the results of fibrin-glue assisted sutureless anterior lamellar keratoplasty (SALK)


Prospective non-comparative interventional study at a tertiary eye care hospital, New Delhi, India


Twelve eyes of 11 patients underwent microkeratome-assisted sutureless anterior lamellar keratoplasty, with the host cut and the donor cut being 200 µ each. Stromal bed was thoroughly dried with a sponge. Fibrin adhesive was used only at the edge of the graft-host junction. Bandage contact lens was applied at the end of the surgery.


Mean follow-up was 9±2.7 months [Range, 6-15 months]. Mean age of the patients was 60.5±15.15 years. Indications for surgery were spheroidal degeneration (n=7), trachomatous keratopathy (n=3) and lattice dystrophy (n=2). Mean post-operative UCVA improved to logMar 0.65±0.28 (20/100) [Range 1-0.12] at last follow-up (p=0.003) from pre-operative UCVA of 1.24±0.46 (20/300) [Range, 2-0.48]. Mean post-operative BSCVA improved to logMar 0.39 ± 0.15 (20/50) [Range 0.48-0.12] (p=0.002) at last follow-up.Mean spherical equivalent, refractive cylinder and topographic astigmatism were -1D, -0.9D and 1.8 D respectively. One eye underwent acute rejection at 6 months post-operatively, but was reversed with topical medications.


SALK is an effective option for early visual rehabilitation in patients with anterior corneal scarring.

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