Femtosecond Laser Lamellar Keratoplasty to Aid Visualization for Cataract Surgery

Abstract

Femtosecond laser-assisted cataract surgery is a promising surgical procedure for a cataract patient with stromal corneal opacity.

Deep anterior lamellar keratoplasty with phacoemulsification

“…Several recent studies [11][12][13] report that the modified triple procedure in a closed system is effective in eliminating the inherent risks of PKP. Although one may question whether Descemet membrane will be resilient during the phacoemulsification procedure, the membrane is a condensation of collagen IV and laminin that is 7 mm to 10 mm thick.…”

“…Thus, the interest in current DALK techniques has grown not only among corneal surgeons but among cataract surgeons as well. 9,10,12 However, the current technique has several factors that are essential to its success. They are as follows: (1) The recipient bed should not be larger than 7.5 mm.…”

“…Because, unlike PKP, DALK is an extraocular procedure, it is not associated with a risk for graft rejection or post-keratoplasty glaucoma, the 2 important factors in future graft survival. It has a lower risk for suture-related problems because 11 Recently, Lee et al 12 advocated the use of a femtosecond laser to refine the DALK technique and increase its precision. Although DALK is often used in challenging cases, several studies [13][14][15] report that surgeons are able to perform the procedure with relative ease while providing the best outcomes for the patient.…”