Cesar Gomezperalta,
Vision Percepcion, Mexico
Title: Quality of vision and life perception after automated lamellar keratoplasty for treating moderate to severe keratoconus
Biography
Biography: Cesar Gomezperalta,
Abstract
Purpose: The aim of this study is to compare preoperative and postoperative quality of vision and life perception after Automated Lamellar Keratoplasty (ALK) in patients with moderate to severe keratoconus. Method: This is a retrospective review of 52 consecutive eyes (42 patients) with moderate to severe keratoconus managed with Automated Lamellar Keratoplasty as first choice of treatment between the year 2005 and 2015 by a single surgeon. Data collected was preoperative and postoperative uncorrected visual acuity (VA), best corrected visual acuity (BCVA), subjective quality of vision and life perception evaluation was performed with the Vision-Perception Clinical Questionnaire (VPCQ). Further refractive surgery for residual refraction also was evaluated and done as part of their visual recovery. Results: All operated eyes (100%) improved UCVA postoperative and 95 percent improved BCVA. All patients referred an increase in their quality of vision and decreased their dependence of glasses or contact lenses. All patients were more independent for daily life activities from which 50% started with sports and activities preoperatively impossible to do. Twenty six percent of the patients underwent LASEK refractive surgery for correction of residual myopia and astigmatism. Conclusion: Automated Lamellar Keratoplasty is a reproducible procedure that not only improves UCVA and BCVA in moderate and severe cases of Keratoconus but also has a beneficial and positive outcome in patient’s quality of vision and perception of life activities.
