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Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 21-23

Indications and Clinical Outcome of Deep Anterior Lamellar Keratoplasty (Dalk) In Central India

Senior Resident, Department of Ophthalmology, Darbhanga Medical College, Darbhanga, Bihar, India

Correspondence Address:
Seema Kumari
Senior Resident, Dept. of Ophthalmology, DMCH, Darbhanga, Bihar
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Source of Support: None, Conflict of Interest: None

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Aim: To report clinical outcomes of deep anterior lamellar keratoplasty (DALK) in patients with varied corneal opacities. Design: Retrospective noncomparative interventional study. Methods: 54 patients were subjected to DALK and followed for at least six months. Outcome measures were intraoperative and postoperative complications, uncorrected and best corrected visual acuity (UCVA and BCVA), mean refractive spherical equivalent (MRSE) and mean cylinder at final follow-up. Results: Intraoperative complications includes Descemet's perforation (6). Postoperative complications includes interface haze (4), graft infection (3), pupillary block glaucoma (1), graft melting (1), graft rejection (3). Mean preoperative and postoperative UCVA and BCVA was 1.56±0.35D; 1.09±0.47D and 1.56+0.35D;0.76+0.54D respectively. Mean MRSE and mean cylinder at final follow up was -0.76+5.94DS and 0.41±10.72D respectively. Conclusion: DALK provides stable long term visual and refractive outcomes.

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