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Original Research

Clinical outcome after air-assisted manual deep anterior lamellar keratoplasty for fungal keratitis poorly responsive to medical treatment

ORCID Icon, , ORCID Icon, &
Pages 1913-1919 | Published online: 26 Sep 2019

Figures & data

Figure 1 Intra-operative appearance of air-assisted manual deep anterior lamellar keratoplasty (Case 4). The corneal lesion is dissected using a surgical knife (A). The corneal stroma is whitened by injected air producing accumulation of small intrastromal bubbles (B). Deeper stromal dissection is then carried out until a thin stromal layer with Descemet membrane is left (C).

Figure 1 Intra-operative appearance of air-assisted manual deep anterior lamellar keratoplasty (Case 4). The corneal lesion is dissected using a surgical knife (A). The corneal stroma is whitened by injected air producing accumulation of small intrastromal bubbles (B). Deeper stromal dissection is then carried out until a thin stromal layer with Descemet membrane is left (C).

Table 1 Clinical profiles of cases with TDALK

Figure 2 Preoperative and postoperative appearance of typical case (Case 3). A 18-year-old woman with Paecilomyces keratitis was treated with antifungal agents for 1 month without resolution (A). Two months after surgery, a clear cornea was regained with corrected visual acuity of −0.2 logarithm of minimal angle of resolution unit in her left eye (B).

Figure 2 Preoperative and postoperative appearance of typical case (Case 3). A 18-year-old woman with Paecilomyces keratitis was treated with antifungal agents for 1 month without resolution (A). Two months after surgery, a clear cornea was regained with corrected visual acuity of −0.2 logarithm of minimal angle of resolution unit in her left eye (B).

Table 2 Relation between visual outcome and severity of ulcer

Figure 3 Kaplan–Meier survival curves of graft clarity. Survival indicates graft clarity was maintained and no additional surgery was performed.

Figure 3 Kaplan–Meier survival curves of graft clarity. Survival indicates graft clarity was maintained and no additional surgery was performed.