Deep anterior lamellar keratoplasty with manual small-incision cataract surgery: a modification of the triple procedure
Abstract
We describe a modified surgical technique for performing the triple procedure that combines deep anterior lamellar keratoplasty with manual small-incision cataract surgery. This technique offers advantages in terms of undergoing a single surgery as compared to the staged procedure, preservation of the host Descemet’s membrane and endothelium, and ability to perform cataract surgery in a closed-chamber setting.
References
Oie Y, Nishida K. Triple procedure: cataract extraction, intraocular lens implantation, and corneal graft. Curr Opin Ophthalmol. 2017;28:63-66.
Muraine MC, Collet A, Brasseur G. Deep lamellar keratoplasty combined with cataract surgery. Arch Ophthalmol. 2002;120:812-815.
Senoo T. Combined surgery with deep lamellar keratoplasty. Semin Ophthalmol. 2001;16:126-136.
Zaki AA, Elalfy MS, Said DG, Dua HS. Deep anterior lamellar keratoplasty—triple procedure: a useful clinical application of the pre-Descemet’s layer (Dua’s layer). Eye (Lond). 2015;29:323-326.
Panda A, Sethi HS, Jain M, Nindra Krishna S, Gupta AK. Deep anterior lamellar keratoplasty with phacoemulsification. J Cataract Refract Surg. 2011;37:122-126.
Melles GR, Lander F, Rietveld FJ, Remeijer L, Beekhuis WH, Binder PS. A new surgical technique for deep stromal, anterior lamellar keratoplasty. Br J Ophthalmol. 1999;83:327-333.
Anwar M, Teichmann KD. Big-bubble technique to bare Descemet’s membrane in anterior lamellar keratoplasty. J Cataract Refract Surg. 2002;28:398-403.
Baradaran-Rafii A, Eslani M, Sadoughi MM, Esfandiari H, Karimian F. Anwar versus Melles deep anterior lamellar keratoplasty for keratoconus: a prospective randomized clinical trial. Ophthalmology. 2013;120:252-259.
Ardjomand N, Hau S, McAlister JC, et al. Quality of vision and graft thickness in deep anterior lamellar and penetrating corneal allografts. Am J Ophthalmol. 2007;143:228-235.
Prasher P, Muftuoglu O, Mootha VV. Traumatic graft dehiscence after anterior lamellar keratoplasty. Cornea. 2009;28:240-242.
Chen W, Ren Y, Zheng Q, Jhanji V. Stabilized triple procedure for management of coexisting corneal opacity and cataract. J Cataract Refract Surg. 2014;40:1966-1970.
Gogate PM, Kulkarni SR, Krishnaiah S, et al. Safety and efficacy of phacoemulsification compared with manual small-incision cataract surgery by a randomized controlled clinical trial: six-week results. Ophthalmology. 2005;112:869-874.
Ruit S, Tabin G, Chang D, et al. A prospective randomized clinical trial of phacoemulsification vs manual sutureless small-incision extracapsular cataract surgery in Nepal. Am J Ophthalmol. 2007;143:32-38.
Gogate P, Optom JB, Deshpande S, Naidoo K. Meta-analysis to compare the safety and efficacy of manual small incision cataract surgery and phacoemulsification. Middle East Afr J Ophthalmol. 2015;22:362-369.
Copyright (c) 2020 Pawan Prasher
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