Femtosecond Laser-assisted Lamellar Keratoplasty

Abstract

Although the numbers in our study are small, our early results indicate that femtosecond laser-assisted lamellar keratoplasty shows promise as a safe and effective surgical choice in the treatment of various corneal pathologies.

Outcomes of femtosecond laser-assisted mushroom-configuration keratoplasty in advanced keratoconus

“…The rate of DM perforation was similar to previous reports (0-39.2%), 27,28 and all the patients with perforations had advanced keratoconus with minimal corneal thickness less than 250 μm.…”

Femtosecond Laser Assisted Lamellar Keratoplasties

“…In 2008 we published our first data on femtolaser-assisted ALK after one year of follow-up 9 . The technique of femtolaser-assisted ALK reaches modest results, with slight patient's dissatisfaction in the first months after surgery, even if after complete suture removal the visual acuity resulted drastically growing up ( Figure 3).…”

“…With the aim to realize a more safe, repeatable and effective LK technique, suitable to every surgical skills, in 2005 we started to use the femtosecond laser technology (IntraLase, AMO, USA) (Figure 1,2) in several cases of anterior corneal pathologies (Femtolaser-assisted Anterior Lamellar Keratoplasty -Femto-ALK -. Early data published on Cornea in 2008) 9 . With the diffusion of the new manual techniques of DALK, especially the "Big Bubble" one [11][12][13][14][15] , allowing the better visual results ever reached by a ALK, the Femto-ALK technique resulted quite inadequate.…”

Surgical strategies to improve visual outcomes in corneal transplantation

“…Similarly, femtosecond lasers have been used to perform vertical and deeper cuts to facilitate PK with variously shaped profiles to configure better wound apposition and reduce post-op astigmatism. 13,14 Top hat, reverse hat, mushroom, zig-zag, and christmas tree-shaped excisions have been tested with moderate improvement in post-op astigmatism. 15 Recently, femtosecond lasers have been utilized to standardize the DALK procedure with some success.…”