Cesar Gomezperalta
Vision Percepcion, Mexico
Title: The nobility of therapeutic and optical lamellar keratoplasty for restoring vision and eye threatening conditions
Biography
Biography: Cesar Gomezperalta
Abstract
Purpose: The aim of this study is to evaluate the effectiveness of combining tectonic/therapeutic and optical lamellar keratoplasty to restore eye in threatening conditions and vision. Method: This is a retrospective review of 5 patients (7 eyes) with peripheral ulcerative keratitis and progressive degenerations that threatened the eye's integrity. All eyes underwent a peripheral tectonic-therapeutic lamellar keratoplasty (LK) to restore its integrity followed 8-12 weeks later by a central optical LK to restore their vision. All surgeries were performed by a single surgeon. Results: After peripheral therapeutic LK the integrity of all eyes was accomplished. Central optical lamellar keratoplasty reduced significantly the refractive error, improved uncorrected and best corrected visual acuity as well as quality of vision. Conclusion: The combination of tectonic-therapeutic and optical lamellar keratoplasty for treating patients with peripheral corneal progressive thinning disease that threatens the eye and rehabilitating their vision is a reliable and trustable procedure. Although each case has its independent possible complications and difficulties, the combination of this procedure gives patients a high percentage grade of success for both tectonic and optical results.
