Contact Lens & Anterior Eye
Volume 32, Issue 6 , Pages 300-302, December 2009

Non-resolving Descemet folds 2 years following deep anterior lamellar keratoplasty: The impact on visual outcome

  • S.R.H. Mohamed

      Affiliations

    • University Hospital Birmingham, United Kingdom
  • ,
  • A. Manna

      Affiliations

    • Birmingham and Midland Eye Centre, University Hospital Birmingham, City Hospital NHS Trust, Dudley Road, Birmingham, West Midlands B18 7QH, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 121 554 3801.
  • ,
  • K. Amissah-Arthur

      Affiliations

    • Birmingham and Midland Eye Centre, University Hospital Birmingham, City Hospital NHS Trust, Dudley Road, Birmingham, West Midlands B18 7QH, United Kingdom
  • ,
  • P.J. McDonnell

      Affiliations

    • Birmingham and Midland Eye Centre, University Hospital Birmingham, City Hospital NHS Trust, Dudley Road, Birmingham, West Midlands B18 7QH, United Kingdom

published online 07 September 2009.

Abstract 

We describe 2 case reports of keratoconus patients showing Descemet's folds persisting more than 2 years after deep anterior lamellar keratoplasty (DLK). One patient had worse best corrected visual acuity postoperatively whereas the other did not improve beyond 6/24. We attribute this to the Descemet's folds. We believe the latter to be a complication following DLK consequent to the degree of localised corneal tissue expansion that may occur in advanced keratoconus in a pathological setting. We also discuss possible mechanisms to try to prevent such a complication.

Keywords: Keratoconus, Deep anterior lamellar keratoplasty, Complication, Descemet folds, Tissue expansion

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1367-0484(09)00101-5

doi:10.1016/j.clae.2009.08.001

Contact Lens & Anterior Eye
Volume 32, Issue 6 , Pages 300-302, December 2009