%0 Journal Article
%T Visual Outcome after Lamellar Keratoplasty at Benghazi Eye Teaching Hospital
%A Ebtihag Mohammed Elkeilani
%A Hamad K. H. A. Elzarrug
%A Mohamed Omar Yousif
%J Open Access Library Journal
%V 11
%N 12
%P 1-9
%@ 2333-9721
%D 2024
%I Open Access Library
%R 10.4236/oalib.1112283
%X <strong>Purpose:</strong> To evaluate the visual, refractive, and topographic improvement after deep anterior lamellar keratoplasty (DALK) in keratoconic patients. <strong>Setting</strong>: Benghazi Eye Teaching Hospital. <strong>Design:</strong> A prospective cohort study was done in the period from November 2023 to January 2024 and included 30 keratoconic eyes of 30 patients who underwent DALK. <strong>Methods</strong>: Thirty keratoconic eyes from 30 patients who underwent DALK. Preoperative data include uncorrected visual acuity (UCVA) and corrected distance visual acuity (CDVA), keratometry, and Q value. Postoperative UCVA and CDVA were evaluated at 7, 30, 60, and 90 days, with CDVA, keratometry, and Q-value using topography images at 90 days postoperatively. <strong>Inclusion Criteria</strong>: Moderate to severe keratoconus with the steepest K reading £¾ 45 D based on the keratoconus study; age from 17 to 57 years; patients who can keep up follow-up for 3 months after surgery; minimum corneal thickness of 260 ¦Ìm at the thinnest corneal location. <strong>Exclusion Criteria</strong>: Pregnancy or nursing, history of hydrops, retinal or macular diseases, optic nerve pathologies, trauma, or amblyopia, and evidence of infectious corneal disease in the eye to be operated on. <strong>Results</strong>: There were statistically improved postoperative compared to preoperative parameters in UCVA and CDVA at the first week (P £¼ 0.05). Similarly, at 30, and 60 days. As well as at 90 days, parameters improved in the UCVA, CDVA, refractive, and topographic data. <strong>Con</strong><strong>clusion:</strong> DALK is efficient for treating keratoconus. It improves UCVA and CDVA in patients with anterior corneal pathology. Faster wound healing is associated with a better donor-recipient fit.
%K Visual Acuity
%K Keratometry
%K Q Value
%K Keratoconus
%K Deep Anterior Lamellar
%U http://www.oalib.com/paper/6838376