Abstract
In the following chapter, we will describe the outcomes of femtosecond laser-assisted tuck-in penetrating keratoplasty (PKP) as a single-step surgical procedure for the visual and anatomical rehabilitation of patients with severe keratoglobus and endothelial damage, where regular tuck-in lamellar techniques are not an option. The only alternative surgical approach would be an epikeratoplasty followed by a central PK which would involve two surgeries and a very long visual recovery in these usually young patients with the potential risk of amblyopia. On the other hand, Femtosecond laser permits an accurate dissection of these already thin corneas without inadvertent perforation risk.
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References
Wallang B, Das S. Keratoglobus. Eye. 2013;27:1004–12.
Javadi MA, Kanavi MR, Ahmadi M, Yazdani S. Outcomes of epikeratoplasty for advanced keratoglobus. Cornea. 2007;26:154–7.
Verrey F. Keratoglobe aigu. Ophthalmologica. 1947;114:284–8.
Cavara V. Keratoglobus and keratoconus. A contribution to the nosological interpretation of keratoglobus. Br J Ophthalmol. 1950;34(10):621–6.
Cameron J, Al-Rajhi A, Badr I. Corneal ectasia in vernal keratoconjunctivitis. Ophthalmology. 1989;96:1615–23.
Jacobs D, Green W, Maumenee A. Acquired keratoglobus. Am J Ophthalmol. 1974;77:393–9.
Koenekoop R. An overview of Leber congenital amaurosis: a model to understand human retinal development. Surv Ophthalmol. 2004;49:379–98.
Cameron J. Corneal abnormalities in Ehlers-Danlos syndrome type VI. Cornea. 1993;12:54–9.
Nelson M, Talbot J. Keratoglobus in Rubinstein Taybi syndrome. Br J Ophthalmol. 1989;73:385–7.
Jones DH, Kirkness CM. A new surgical technique for keratoglobus-tectonic lamellar keratoplasty followed by secondary penetrating keratoplasty. Cornea. 2001;20:885–7.
Grewal S, Laibson P, Cohen E, Rapuano C. Acute hydrops in the corneal ectasias: associated factors and outcomes. Trans Am Ophthalmol Soc. 1999;97:187–98.
Baillif S, Garweg J, Grange J, Burillon C, Kodjikian L. Keratoglobus: review of the literature. J Fr Ophthalmol. 2005;28:1145–9.
Cowden J, Copeland R, Schneider M. Large diameter therapeutic penetrating keratoplasties. Refract Corneal Surg. 1989;5:244–8.
Alió Del Barrio J, Al-Shymali O, Alió J. Femtosecond laser-assisted tuck-in penetrating keratoplasty for advanced keratoglobus with endothelial damage. Cornea. 2017;36(9):1145–9.
Kaushal S, Jhanji V, Sharma N, Tandon R, Titiyal JS, Vajpayee RB. “ Tuck In” lamellar keratoplasty (TILK) for corneal ectasias involving corneal periphery. Br J Ophthalmol. 2008;92:286–90.
Vajpayee RB, Bhartiya P, Sharma N. Central lamellar keratoplasty with peripheral intralamellar tuck: a new surgical technique for keratoglobus. Cornea. 2002;21:657–60.
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del Barrio, J.L.A., Al-Shymali, O., Alió, J.L. (2023). Femtosecond Laser-Assisted Tuck-In Penetrating Keratoplasty. In: Alió, J.L., del Barrio, J.L.A. (eds) Modern Keratoplasty. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-031-32408-6_9
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