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Jafarinasab M-R, Hadi Y, Espandar G. Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty with or without Excimer Laser Donor Keratomileusis for Management of Keratoconus. JOVR [Internet]. 2021Oct.25 [cited 2024May16];16(4):691–697. Available from: https://knepublishing.com/index.php/JOVR/article/view/9761

https://doi.org/10.18502/jovr.v16i4.9761

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authors

  • Mohammad-Reza Jafarinasab

    Mohammad-Reza Jafarinasab

    Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Yasaman Hadi

    Yasaman Hadi

    Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
    https://orcid.org/0000-0001-8332-2950
  • Goldis Espandar

    Goldis Espandar

    Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Published Date

  • Oct 25, 2021
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Femtosecond Laser-assisted Allogenic Additive Stromal Keratoplasty with or without Excimer Laser Donor Keratomileusis for Management of Keratoconus

Journal of Ophthalmic and Vision Research (JOVR) / October–December 2021, Volume 16, Issue 4 / Pages 691–697

Abstract

We describe a modified allogenic intrastromal lenticule implantation technique for management of keratoconus (KCN). Patients with advanced KCN already scheduled for corneal transplantation were enrolled. An allogenic corneal lenticule was implanted inside a stromal pocket created by femtosecond laser. In three cases, the estimated refractive error of the recipient eyes was corrected on the donor lenticules using an Excimer laser. All operated eyes underwent corneal crosslinking at the time of surgery. This method was named “Femtosecond Laser-assisted Allogenic Stromal Keratoplasty Without and With Excimer Laser-assisted Donor Keratomileusis”; briefly called FASK and FASK Plus EDK, respectively. Two out of five patients were satisfied with the results. There was a decrease in the average simulated keratometric values as well as myopia when FASK Plus EDK was performed. Increased corneal thickness was achieved in all cases. Graft edema gradually decreased over weeks but interface wrinkling and lenticule folds in the visual axis remained as a problem during follow-up period. No other complications were encountered.

Keywords:

Allogenic, Ectasia, Keratoconus

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