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Femtosecond-assisted keratoplasty in leukaemia patients: a 12-month follow-up pilot study

Poster Details

First Author: Z.Xu CHINA

Co Author(s):    L. Wang                    

Abstract Details

Purpose:

To report outcomes of femtosecond-assisted keratoplasty (penetrating keratoplasty and lamellar keratoplasty) for the treatment of leukoma patients with healthy endothelium.

Setting:

Chinese People’s Liberation Army General Hospital (PLAGH)

Methods:

Case series with 12 months of follow-up. Most leukoma patients had mushroom penetrating keratoplasty (patients with superficial opacities had femtosecond laser–assisted anterior deep anterior lamellar keratoplasty). Outcomes included corrected distance visual acuity which were recorded in the minimal angle of resolution (logMAR), manifest, astigmatism, cornea thickness, and endothelial cell density, and they were assessed preoperatively and for 1, 6 and 12months postoperatively.

Results:

Seven eyes  had mushroom PK and two eyes  had DALK. Post-operative corrected VA was 0.32 ±0.18, 0.17 ±0.11, and 0.10 ±0.11 logMAR at 1, 6, and 12 months, respectively. Mean manifest and postoperative astigmatism were: 3.15 ±2.32 and 4.15 ±2.22 diopters (D) at 1 month, 2.15 ±1.38 and 3.87 ±2.23D at 6 months, 2.00 ±1.21 and 2.58 ±2.02D at 12 months, respectively. At the same follow-up times, mean cornea thickness was 541 ±49, 537 ±65, and 530±45mm, respectively; and mean endothelial cell density was 2002±333, 1896±411, and 1730 ± 376 cells/mm2, respectively. No intraoperative complications were found.

Conclusions:

Femtosecond laser-assisted keratoplasty was a relatively efficient and safe procedure for improving the quality of vision in leukoma patients, and the results remained stable during the 1-year follow-up.

Financial Disclosure:

None

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