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Deep Lamellar Keratoplasty with air bubble is safe, effective

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BERLIN — Deep lamellar keratoplasty with air bubble dissection is a safe and effective method of treating keratoconus, according to one surgeon.

Speaking at the European Society of Cataract and Refractive Surgeons meeting here, Alaa El-Danasoury, MD, FRCS, said residual refractive error can be corrected with LASIK or toric ICL implantation, but not earlier than 15 months after grafting or 3 months after suture removal.

"In less severe cases, cross-linking can be used to stabilize vision, and an ICL can be implanted after 1 year. However, if the keratoconus has evolved to more severe stages, lamellar keratoplasty should be performed without waiting too long, to avoid having to do a penetrating graft," he pointed out.

He treated 113 eyes of 87 patients. Surgery was successful in more than 90% of the cases and only 7% had microperforations. At 1 year, 84% of the patients were 80/40 or better and 80% were 20/20 or better. No secondary procedure was needed in about 60% of the cases.

Dr. El-Danasoury stressed the importance of waiting one year for suture removal.