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S. Rubbani, A. Kanellopoulos, L. Pe; Microkeratome–Assisted Lamellar Keratoplasty (MALK) for Iatrogenic or Idiopathic Cornea Ectasia . Invest. Ophthalmol. Vis. Sci. 2005;46(13):2699.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To study the safety and efficacy of MALK in idiopathic and secondary cornea ectasias. Methods: MALK was performed on 12 eyes, by removing 200 ums and suturing a 350um allograft lenticule; using a microkeratome. We evaluated pre– and post–op: UCVA, BSCVA, cornea thickness (CT), graft clarity (GC), and refraction. Results: UCVA improved from 20/400 to 20/60 and BCSVA from mean 20/80 to 20/30. At 9 months mean follow–up; CT improved from 410 um to 580 um; GC was 4/6 as a mean. RE change: Sphere from –6.25D to –2.50D and cylinder from –5.75D –3.50D. Conclusions: MALK may be a safe and effective alternative for visual rehabilitation, by possibly providing tectonic support in corneal ectasias.
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