Journal of Cataract & Refractive Surgery
Volume 36, Issue 2 , Pages 193-196 , February 2010

Double-bubble technique to facilitate Descemet membrane exposure in deep anterior lamellar keratoplasty

  • Jun Shimazaki, MD, PhD

      Affiliations

    • Corresponding Author InformationCorresponding author: Jun Shimazaki, MD, PhD, Department of Ophthalmology, Tokyo Dental College, 5-11-13 Sugano, Ichikawa, Chiba, 272-8513, Japan.

Received 7 June 2009 ,Revised 27 August 2009 ,Accepted 31 August 2009.

References 

  1. Anwar M, Teichmann KD. Deep lamellar keratoplasty; surgical techniques for anterior lamellar keratoplasty with and without baring of Descemet's membrane. Cornea. 2002;21:374–383
  2. Shimazaki J. The evolution of lamellar keratoplasty. Curr Opin Ophthalmol. 2000;11:217–223
  3. Shimazaki J, Shimmura S, Ishioka M, Tsubota K. Randomized clinical trial of deep lamellar keratoplasty vs penetrating keratoplasty. Am J Ophthalmol. 2002;134:159–165
  4. Sugita J, Kondo J. Deep lamellar keratoplasty with complete removal of pathological stroma for vision improvement. Br J Ophthalmol. 1997;81:184–188Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1722147/pdf/v081p00184.pdfAccessed October 28, 2009
  5. Tsubota K, Kaido M, Monden Y, Satake Y, Bissen-Miyajima H, Shimazaki J. A new surgical technique for deep lamellar keratoplasty with single running suture adjustment. Am J Ophthalmol. 1998;126:1–8
  6. Melles GRJ, Lander F, Rietveld FJR, Remeijer L, Beekhuis WH, Binder PS. A new surgical technique for deep stromal, anterior lamellar keratoplasty. Br J Ophthalmol. 1999;83:327–333Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1722959/pdf/v083p00327.pdfAccessed October 28, 2009
  7. Senoo T, Chiba K, Terada O, Mori J, Kusama M, Hasegawa K, et al. Deep lamellar keratoplasty by deep parenchyma detachment from the corneal limbs. Br J Ophthalmol. 2005;89:1597–1600Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1772972/pdf/bjo08901597.pdfAccessed October 28, 2009
  8. Fontana L, Parente G, Tassinari G. Clinical outcomes after deep anterior lamellar keratoplasty using the big-bubble technique in patients with keratoconus. Am J Ophthalmol. 2007;143:117–124
  9. Fontana L, Parente G, Tassinari G. Simple test to confirm cleavage with air between Descemet's membrane and stroma during big-bubble deep anterior lamellar keratoplasty. J Cataract Refract Surg. 2007;33:570–572
  10. Parthasarathy A, Por YM, Tan DTH. Use of a “small-bubble technique” to increase the success of Anwar's “big-bubble technique” for deep lamellar keratoplasty with complete baring of Descemet's membrane. Br J Ophthalmol. 2007;91:1369–1373
  11. Parthasarathy A, Por YM, Tan DTH. Using a “small bubble technique” to aid in success in Anwar's “big bubble technique” of deep lamellar keratoplasty with complete baring of Descemet's membrane [video report]. Br J Ophthalmol. 2008;92:422;Available at: http://bjo.bmj.com/content/92/3/422/suppl/DC1Accessed October 28, 2009

PII: S0886-3350(09)01079-7

doi: 10.1016/j.jcrs.2009.08.038

Journal of Cataract & Refractive Surgery
Volume 36, Issue 2 , Pages 193-196 , February 2010

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