Matches in SemOpenAlex for { <https://semopenalex.org/work/W4310961804> ?p ?o ?g. }
- W4310961804 endingPage "115" @default.
- W4310961804 startingPage "107" @default.
- W4310961804 abstract "PURPOSE To compare visual acuity, refractive error, and complications after penetrating keratoplasty (PK) vs deep anterior lamellar keratoplasty (DALK) in the management of advanced stage of keratoconus. DESIGN Retrospective, comparative, interventional study. METHODS This study enrolled 411 consecutive keratoconus eyes with preoperative mean keratometry ≥60 diopters (D) that received either PK (218 eyes) or DALK (193 eyes). The outcome measures were postoperative visual acuity, refraction, complications, and further surgical interventions. RESULTS The mean follow-up duration was 77.9±46.5 and 72.9±47.8 months in the PK and DALK groups, respectively (P = .28). Compared with baseline values, postoperative visual acuity and refraction significantly improved in both groups. Postoperative corrected distance visual acuity was 0.18±0.13 and 0.26±0.19 logMAR in the PK and DALK groups, respectively (P < .001). Postoperative spherical equivalent refraction was –2.89±2.89 D after PK and –4.58±3.62 D after DALK (P < .001). Final keratometric astigmatism was comparable between the 2 groups (P = .82). Suture-related complications were observed in 48.6% of the PK eyes and 72.0% of the DALK eyes (P < .001). The incidence of graft rejection was 33.5% after PK and 19.7% after DALK (P = .002). At the last visit, 98.2% of PK grafts and 94.8% of DALK grafts remained clear (P = .06). CONCLUSION Both techniques of corneal transplantation led to a significant improvement in the visual and refractive variables in eyes with advanced keratoconus. PK resulted in a better visual acuity and refraction with less suture-related complications compared to DALK. However, PK was associated with a higher rate of graft rejection. The 2 techniques were comparable in terms of graft survival. To compare visual acuity, refractive error, and complications after penetrating keratoplasty (PK) vs deep anterior lamellar keratoplasty (DALK) in the management of advanced stage of keratoconus. Retrospective, comparative, interventional study. This study enrolled 411 consecutive keratoconus eyes with preoperative mean keratometry ≥60 diopters (D) that received either PK (218 eyes) or DALK (193 eyes). The outcome measures were postoperative visual acuity, refraction, complications, and further surgical interventions. The mean follow-up duration was 77.9±46.5 and 72.9±47.8 months in the PK and DALK groups, respectively (P = .28). Compared with baseline values, postoperative visual acuity and refraction significantly improved in both groups. Postoperative corrected distance visual acuity was 0.18±0.13 and 0.26±0.19 logMAR in the PK and DALK groups, respectively (P < .001). Postoperative spherical equivalent refraction was –2.89±2.89 D after PK and –4.58±3.62 D after DALK (P < .001). Final keratometric astigmatism was comparable between the 2 groups (P = .82). Suture-related complications were observed in 48.6% of the PK eyes and 72.0% of the DALK eyes (P < .001). The incidence of graft rejection was 33.5% after PK and 19.7% after DALK (P = .002). At the last visit, 98.2% of PK grafts and 94.8% of DALK grafts remained clear (P = .06). Both techniques of corneal transplantation led to a significant improvement in the visual and refractive variables in eyes with advanced keratoconus. PK resulted in a better visual acuity and refraction with less suture-related complications compared to DALK. However, PK was associated with a higher rate of graft rejection. The 2 techniques were comparable in terms of graft survival." @default.
- W4310961804 created "2022-12-21" @default.
- W4310961804 creator A5009706222 @default.
- W4310961804 creator A5015730938 @default.
- W4310961804 creator A5028918870 @default.
- W4310961804 creator A5037740958 @default.
- W4310961804 creator A5055801322 @default.
- W4310961804 creator A5065338291 @default.
- W4310961804 date "2023-04-01" @default.
- W4310961804 modified "2023-10-17" @default.
- W4310961804 title "Penetrating Keratoplasty Versus Deep Anterior Lamellar Keratoplasty for Advanced Stage of Keratoconus" @default.
- W4310961804 cites W1970155676 @default.
- W4310961804 cites W1988290672 @default.
- W4310961804 cites W1989589200 @default.
- W4310961804 cites W2021103580 @default.
- W4310961804 cites W2024798699 @default.
- W4310961804 cites W2048628691 @default.
- W4310961804 cites W2070139008 @default.
- W4310961804 cites W2082135890 @default.
- W4310961804 cites W2100849855 @default.
- W4310961804 cites W2104836679 @default.
- W4310961804 cites W2158674369 @default.
- W4310961804 cites W2206051068 @default.
- W4310961804 cites W2261963449 @default.
- W4310961804 cites W2270349305 @default.
- W4310961804 cites W2315880900 @default.
- W4310961804 cites W2322830189 @default.
- W4310961804 cites W2323420755 @default.
- W4310961804 cites W2332672520 @default.
- W4310961804 cites W2477299490 @default.
- W4310961804 cites W2766223646 @default.
- W4310961804 cites W2767130462 @default.
- W4310961804 cites W2826404759 @default.
- W4310961804 cites W2912465098 @default.
- W4310961804 cites W2921253110 @default.
- W4310961804 cites W2965859835 @default.
- W4310961804 cites W2985016002 @default.
- W4310961804 cites W3129433747 @default.
- W4310961804 doi "https://doi.org/10.1016/j.ajo.2022.11.019" @default.
- W4310961804 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36476362" @default.
- W4310961804 hasPublicationYear "2023" @default.
- W4310961804 type Work @default.
- W4310961804 citedByCount "4" @default.
- W4310961804 countsByYear W43109618042023 @default.
- W4310961804 crossrefType "journal-article" @default.
- W4310961804 hasAuthorship W4310961804A5009706222 @default.
- W4310961804 hasAuthorship W4310961804A5015730938 @default.
- W4310961804 hasAuthorship W4310961804A5028918870 @default.
- W4310961804 hasAuthorship W4310961804A5037740958 @default.
- W4310961804 hasAuthorship W4310961804A5055801322 @default.
- W4310961804 hasAuthorship W4310961804A5065338291 @default.
- W4310961804 hasConcept C109821595 @default.
- W4310961804 hasConcept C118487528 @default.
- W4310961804 hasConcept C120665830 @default.
- W4310961804 hasConcept C121332964 @default.
- W4310961804 hasConcept C141071460 @default.
- W4310961804 hasConcept C204442743 @default.
- W4310961804 hasConcept C259533 @default.
- W4310961804 hasConcept C2776882836 @default.
- W4310961804 hasConcept C2778257484 @default.
- W4310961804 hasConcept C2778918178 @default.
- W4310961804 hasConcept C2780686511 @default.
- W4310961804 hasConcept C2781053140 @default.
- W4310961804 hasConcept C2781093698 @default.
- W4310961804 hasConcept C2781135284 @default.
- W4310961804 hasConcept C71924100 @default.
- W4310961804 hasConceptScore W4310961804C109821595 @default.
- W4310961804 hasConceptScore W4310961804C118487528 @default.
- W4310961804 hasConceptScore W4310961804C120665830 @default.
- W4310961804 hasConceptScore W4310961804C121332964 @default.
- W4310961804 hasConceptScore W4310961804C141071460 @default.
- W4310961804 hasConceptScore W4310961804C204442743 @default.
- W4310961804 hasConceptScore W4310961804C259533 @default.
- W4310961804 hasConceptScore W4310961804C2776882836 @default.
- W4310961804 hasConceptScore W4310961804C2778257484 @default.
- W4310961804 hasConceptScore W4310961804C2778918178 @default.
- W4310961804 hasConceptScore W4310961804C2780686511 @default.
- W4310961804 hasConceptScore W4310961804C2781053140 @default.
- W4310961804 hasConceptScore W4310961804C2781093698 @default.
- W4310961804 hasConceptScore W4310961804C2781135284 @default.
- W4310961804 hasConceptScore W4310961804C71924100 @default.
- W4310961804 hasLocation W43109618041 @default.
- W4310961804 hasLocation W43109618042 @default.
- W4310961804 hasOpenAccess W4310961804 @default.
- W4310961804 hasPrimaryLocation W43109618041 @default.
- W4310961804 hasRelatedWork W1978423620 @default.
- W4310961804 hasRelatedWork W1997749739 @default.
- W4310961804 hasRelatedWork W2012407884 @default.
- W4310961804 hasRelatedWork W2030967050 @default.
- W4310961804 hasRelatedWork W2040944100 @default.
- W4310961804 hasRelatedWork W2046669834 @default.
- W4310961804 hasRelatedWork W2391381919 @default.
- W4310961804 hasRelatedWork W2398496007 @default.
- W4310961804 hasRelatedWork W3034144940 @default.
- W4310961804 hasRelatedWork W4214810807 @default.
- W4310961804 hasVolume "248" @default.
- W4310961804 isParatext "false" @default.
- W4310961804 isRetracted "false" @default.