International Journal of Keratoconus and Ectatic Corneal Diseases

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VOLUME 2 , ISSUE 2 ( May-August, 2013 ) > List of Articles

RESEARCH ARTICLE

Ferrara Technique of Deep Anterior Lamellar Keratoplasty for Keratoconus Treatment

Leonardo Torquetti

Citation Information : Torquetti L. Ferrara Technique of Deep Anterior Lamellar Keratoplasty for Keratoconus Treatment. Int J Kerat Ect Cor Dis 2013; 2 (2):51-55.

DOI: 10.5005/jp-journals-10025-1050

Published Online: 00-08-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Purpose

To report the first clinical results of application Ferrara's technique of deep anterior lamellar keratoplasty (FDALK) in patients with keratoconus.

Materials and methods

Thirty-four eyes of 34 patients with advanced keratoconus were included in the study. All patients were operated by the FDALK technique. Preoperative and postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), corneal topography and corneal astigmatism were evaluated. Intra- and postoperative complications are described.

Results

Uncorrected visual acuity improved in from 20/400 to 20/125; corrected visual acuity improved from 20/300 to 20/48. The mean follow-up was 19.3 months (sd: 7.1). Corneal topography (Pentacam®) showed significant corneal flattening in all cases. Microperforations of the Descemet's membrane, requiring conversion to penetrating keratoplasty, occurred in two cases.

Conclusion

The FDALK technique is a safe and effective technique to be applied in patients with keratoconus. Visual outcome is comparable to PK, with advantage of preserving recipient endothelium, which lessens the risk of endothelium rejection.

How to cite this article

Ferrara P, Ferrara G, Torquetti L. Ferrara Technique of Deep Anterior Lamellar Keratoplasty for Keratoconus Treatment. Int J Kerat Ect Cor Dis 2013;2(2):51-55.


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