A new method has been developed for diminishing the myopic eye refraction: refraction ring-like tunnel keratoplasty. The technique is simple, virtually atraumatic, and highly effective. It has been introduced in clinical practice. The method consists in placing a ring-shaped collagen thread ++para-centrally in the surface layers of the cornea. Experimental studies of refraction ring-like tunnel keratoplasty included staining the sections with hematoxylin and eosin and Kampos' silver impregnation. Changes in the transplant shape and the host cornea, as well as the terms of their innervation were studied in histologic sections. The results of 32 surgeries are analyzed. Essential reduction of the refraction in the myopic eye--12.0-15.0 diopters, vision acuity improvement in the operated on eyes without correction (in cases without astigmatism), and a stable refraction effect were achieved. The authors recommend the new method of refraction keratoplasty for practice.
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Int Med Case Rep J
September 2024
Department of Ophthalmology, Kanazawa University Hospital, Ishikawa, Japan.
Background: Currently, the push-in technique through the corneal tunnel using a blunt-tip spatula is used to insert an artificial corneal endothelium (EndoArt) into the anterior chamber (AC). The device is useful for patients with bullous keratopathy; however, it may be difficult to manipulate the very thin implant through hazy cornea. Unlike DMEK graft, it cannot be stained and the F-mark is faint.
View Article and Find Full Text PDFCornea
August 2024
S. Fyodorov Eye Microsurgery Federal State Institution, Moscow, Russia.
Purpose: Surgical treatment of unilateral limbal stem cell deficiency (LSCD) is based on limbal stem cell transplantation. Glueless simple limbal epithelial transplantation (G-SLET) technique implements several limbal micrografts harvested from the healthy eye of the same patient into the peripheral corneal tunnels without the use of fibrin glue and human amniotic membrane.
Methods: A novel customized algorithm and software for a low-energy femtosecond laser (FSL) were developed and tested using 5 pairs of isolated porcine eyes.
Bioengineering (Basel)
June 2024
Cornea and External Eye Disease Service, Singapore National Eye Center, Singapore 168751, Singapore.
The aim of our study is to investigate the feasibility and outcomes of using a femtosecond laser (FSL) platform (Ziemer LDV Z8) for deep anterior lamellar keratoplasty (DALK), enabling the creation of mushroom-shaped graft-host junctions, lamellar cuts, and intrastromal tunnels, to facilitate the big bubble, in one step. We included wet lab experiments on nine porcine eyes to assess the laser accuracy and cuts depth using an anterior segment (AS) OCT. This was followed by an interventional prospective case series on 10 eyes with variant corneal pathologies.
View Article and Find Full Text PDFClin Exp Ophthalmol
October 2024
Beyoglu Eye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Background: To evaluate the results of corneal allogenic intrastromal ring segment (CAIRS) implantation in keratoconus.
Methods: The medical records of patients with keratoconus who underwent CAIRS implantation were reviewed. The CAIRS, prepared by trephination from the donor cornea, was implanted into a tunnel created using the femtosecond laser.
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