Dr.Lional Raj D
Objective: To demonstrate Corneal Stromal Augmentation followed by refractive measures in extremely thin and wild keratoconic corneas which otherwise had to be replaced
Methodology: Wild non-scarred keratoconic corneas were subjected to a Femto assisted mid stromal dissection of 9.5 mm in diameter with two parallel incisions through which a formerly prepared donor stromal lenticule (Femto-dissected) of approximately 200 to 250 microns was transplanted for stromal augmentation, followed up to 1 year and compared with DALK. Scopes for residual refractive measures namely contact lenses, phakic IOL’s, corneal ring segments and excimer lasers post augmentation would be discussed
Conclusion: With Corneal Stromal Augmentation, ‘wild keratoconic corneas’ become ‘mild and strong’ with excellent outcomes better or no worse than DALK without sacrifice of tissues and suture-related events. Further scope of residual refractive measures are possible
Leave a Comment