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- W2529271179 abstract "To describe a surgical approach for the completion of pre-descemetic deep anterior lamellar keratoplasty (pdDALK) in the presence of a macroperforation of Descemet's membrane (DM).Using case notes, we recorded the details of the intra- and perioperative course of patients who underwent successful pdDALK in the presence of macroperforation. A literature search of pdDALK techniques available to the corneal surgeon in a similar scenario was undertaken.In two very different scenarios with intra- or preoperative perforation of DM, a centripetal layered lamellar dissection was performed and allowed completion of pdDALK with a residual recipient central stromal thickness of 36 and 115 µm and good visual outcome.Despite very different scenarios, a centripetal layered lamellar dissection offers an approach for the completion of pdDALK in the presence of a macroperforation.Es wird ein chirurgischer Ansatz zur Durchführung der tiefen anterioren lamellären Prä-Descemet-Keratoplastik (pdDALK) bei bestehender Makroperforation der Descemet-Membran (DM) beschrieben.Details des intra- und perioperativen Verlaufs wurden aus Krankenakten der in die Studie aufgenommenen Patienten erhoben, bei denen erfolgreich eine pdDALK bei bestehender Makroperforation der DM durchgeführt wurde. Zu den beschriebenen chirurgischen Ansätzen für den Hornhautchirurgen bei vergleichbaren Szenarien wurde eine Literaturrecherche durchgeführt.Die zentripetale tiefe lamelläre Dissektion ermöglichte in 2 sehr unterschiedlichen klinischen Szenarien mit intra- bzw. präoperativer Perforation der DM die erfolgreiche Durchführung der pdDALK mit einer residualen Stromadicke von 36 bzw. 115 µm und gutem Visusergebnis.Die zentripetale tiefe lamelläre Dissektion ermöglicht bei Makroperforationen der DM in unterschiedlichen klinischen Szenarien die erfolgreiche Durchführung einer pdDALK." @default.
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- W2529271179 date "2016-10-01" @default.
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- W2529271179 title "Intraoperative management of macroperforations of Descemet’s membrane in deep anterior lamellar keratoplasty" @default.
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- W2529271179 doi "https://doi.org/10.1007/s00717-016-0312-y" @default.
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