2012
DOI: 10.1590/s0004-27492012000100004
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Abstract: Artigo Original | Original article INTRODUÇÃOA ceratoplastia lamelar anterior profunda (DALK -deep anterior lamelar keratoplasty) tem sido proposta como alternativa à tradicional ceratoplastia penetrante (CP) para tratamento de várias doenças corneanas que não acometem o endotélio, como é o caso do ceratocone. O procedimento propõe a retirada das camadas corneanas até o mais próximo da membrana de Descemet, sem penetrar no globo ocular, seguido do transplante corneano. Os benefícios teóricos da RESUMO Objetivo… Show more

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Cited by 2 publications
(5 citation statements)
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“…Arriola-Villalobos [ 27 ] found that the spherical equivalent decreased by 3.05 D, and Coscarelli et al [ 16 ] reported a decrease of 3.68 D. These values are similar to those found in our study, in which we observed a decrease of 2.96 D. In the study of Lisa et al [ 13 ], a smaller reduction in the spherical equivalent of 1.67 D was observed.…”
Section: Discussionsupporting
confidence: 91%
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“…Arriola-Villalobos [ 27 ] found that the spherical equivalent decreased by 3.05 D, and Coscarelli et al [ 16 ] reported a decrease of 3.68 D. These values are similar to those found in our study, in which we observed a decrease of 2.96 D. In the study of Lisa et al [ 13 ], a smaller reduction in the spherical equivalent of 1.67 D was observed.…”
Section: Discussionsupporting
confidence: 91%
“…The choice of a Ferrara ICRS with a 5 mm optical zone also has advantages over choosing those that are implanted in a 6 or 7 mm optic zone, as the former theoretically causes greater corneal flattening because the refractive results are inversely proportional to the implant diameter [ 16 ]. Furthermore, a smaller optical zone provides greater distance between the ICRS and graft/host junction, reducing the chance of stromal neovascularization/dehiscence of the junction.…”
Section: Discussionmentioning
confidence: 99%
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“…The main advantage associated with the DALK procedure is the fact that the technique maintains the tissues that are healthy, replacing only the diseased epithelium and stroma, reducing the chances of possible rejections and failures related to the transplant (COSCARELLI;NEVES;BOTEON, 2012;PRAZERES et al, 2016;SANO et al, 2008;TAN et al, 2012). This affirmation was demonstrated in the study by Kim et al (2016) in three eyes of three male beagles submitted to the DALK procedure, in which there was no graft rejection after 150 days of follow-up of the population, and only the formation of a small cloudiness was found around the transplanted margin between the donor and recipient corneas.…”
Section: Discussionmentioning
confidence: 99%
“…Deep anterior lamellar keratoplasty (DALK) is applied in order to selectively replace the diseased layers of the cornea, retaining those that are healthy, reducing the risk of rejection of the transplanted tissue. This way, DALK removes varying amounts of the corneal stroma and epithelium, maintaining the Descemet membrane and endothelium, thereby allowing the affected cornea to support its recovery after transplantation (COSCARELLI; NEVES; BOTEON, 2012;PRAZERES et al, 2016;SANO et al, 2008;TAN et al, 2012).…”
Section: Introductionmentioning
confidence: 99%