Refractive surgery after deep anterior lamellar keratoplasty: a review of the literature

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dc.contributor.authorAlfonso Bartolozzi, Belén
dc.contributor.authorMartínez Alberquilla, Irene
dc.contributor.authorBaamonde Arbaiza, Begoña
dc.contributor.authorFernández Vega-Cueto, Luis
dc.contributor.authorAlfonso Sánchez, José F.
dc.contributor.authorMadrid Costa, David
dc.date.accessioned2023-06-22T12:53:49Z
dc.date.available2023-06-22T12:53:49Z
dc.date.issued2022-09-09
dc.description.abstractPurpose:The main objective of this work is to present an updated review of the different surgical procedures for the correction of residual refractive errors following deep anterior lamellar keratoplasty (DALK) surgery. Methods: A review of the literature was conducted using PubMed, Web of Science, and Scopus databases. The search was conducted in January 2022 and was limited to articles published in peer-reviewed journals. The information extracted from each publication included sample size, mean follow-up time, pre- and post-operative uncorrected (UDVA) and corrected distance visual acuity (CDVA), pre- and post-operative refraction and spherical equivalent (SE), safety and efficacy indexes and complications. Results: Residual ametropias, mainly high astigmatism and myopia, and the resulting anisometropia are likely to occur following DALK. They become a limiting factor and may lead to unsatisfactory visual restoration, therefore affecting patients’ quality of vision and life. Alternative surgical interventions may be required to treat this residual ametropia, such as corneal refractive surgery or intraocular lens implantation. A total of 47 relevant articles were studied in detail. Different refractive surgery techniques have been shown to be effective and safe for the correction of ametropia following the DALK procedure and to improve the patient’s quality of vision, although more research is needed to confirm long-term results. Conclusion: The final refractive technique will depend on different factors, such as the amount of ametropia, the condition of the cornea or the patient’s individual needs, economics, and occupational demands.
dc.description.departmentDepto. de Optometría y Visión
dc.description.facultyFac. de Óptica y Optometría
dc.description.refereedTRUE
dc.description.sponsorshipUniversidad Complutense de Madrid (España)
dc.description.sponsorshipBanco Santander (España)
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/77691
dc.identifier.doi10.1007/s10792-022-02507-y
dc.identifier.issn0165-5701
dc.identifier.officialurlhttps://doi.org/10.1007/s10792-022-02507-y
dc.identifier.relatedurlhttps://link.springer.com/article/10.1007/s10792-022-02507-y
dc.identifier.urihttps://hdl.handle.net/20.500.14352/73303
dc.journal.titleInternational Ophthalmology
dc.language.isoeng
dc.page.final1435
dc.page.initial1413
dc.publisherSpringer Verlag
dc.relation.projectIDCT63/19- CT64/19
dc.rights.accessRightsrestricted access
dc.subject.cdu617.713-089
dc.subject.cdu617.7-001.15
dc.subject.keywordDeep anterior lamellar keratoplasty
dc.subject.keywordResidual ametropia
dc.subject.keywordCorneal refractive surgery
dc.subject.keywordIntraocular lens implantation
dc.subject.ucmCirugía
dc.subject.ucmOftalmología
dc.subject.ucmOptometría
dc.subject.unesco3213 Cirugía
dc.subject.unesco3201.09 Oftalmología
dc.subject.unesco2209.15 Optometría
dc.titleRefractive surgery after deep anterior lamellar keratoplasty: a review of the literature
dc.typejournal article
dc.volume.number43
dspace.entity.typePublication
relation.isAuthorOfPublication7d72044d-983a-4b5a-abab-6a5e45396824
relation.isAuthorOfPublication383ca857-3af5-4787-8717-d278082d1d13
relation.isAuthorOfPublication.latestForDiscovery7d72044d-983a-4b5a-abab-6a5e45396824
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