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Volume 32, Issue 6, Pages 300-302 (December 2009)


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

S.R.H. Mohameda, A. MannabCorresponding Author Informationemail address, K. Amissah-Arthurb, P.J. McDonnellb

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.

a University Hospital Birmingham, United Kingdom

b 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.

PII: S1367-0484(09)00101-5

doi:10.1016/j.clae.2009.08.001


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