RT Journal Article
T1 Spontaneous Descemet Layer Dissection Without Pneumodissection in Femtosecond Laser-Assisted Mushroom-Type Deep Anterior Lamellar Keratoplasty
A1 Montolío Marzo, Elena
A1 Díaz Valle, David
A1 Burgos Blasco, Bárbara
A1 Etxabe, Haizea
A1 Gegúndez Fernández, José Antonio
AB Purpose: The aim of this study was to describe a case of spontaneous Descemet layer dissection without pneumodissection in femtosecond laser-assisted mushroom-type deep anterior lamellar keratoplasty.Methods: This study is a case report.Results:  A 46-year-old woman diagnosed with reticular dystrophy underwent, in her left eye, mushroom configuration femtosecond laser-assisted DALK (F-DALK). After laser trephination and removal of the superficial stroma using manual dissection, a type 2 BB formation was observed intraoperatively in the AS-OCT without signs of an associated microperforation. A deeper stromal removal was accomplished by layer-by-layer manual dissection, while the BB persisted. After stromal dissection, the donor cornea was secured with 8 interrupted 10-0 nylon sutures. The next day AS-OCT showed a detachment of DM. After 1 week, a spontaneous resolution of the DM detachment was observed.Conclusions:  This unknown F-DALK intraoperative complication has been detected through intraoperative AS-OCT images which may improve our understanding of F-DALK surgery and possible complications associated with femtolaser-assisted procedures.
PB Lippincott Williams & Wilkins
SN 0277-3740
YR 2023
FD 2023
LK https://hdl.handle.net/20.500.14352/87406
UL https://hdl.handle.net/20.500.14352/87406
LA eng
NO Montolío-Marzo, Elena, et al. «Spontaneous Descemet Layer Dissection Without Pneumodissection in Femtosecond Laser-Assisted Mushroom-Type Deep Anterior Lamellar Keratoplasty». Cornea, vol. 42, n.o 8, agosto de 2023, pp. 1045-48. DOI.org (Crossref), https://doi.org/10.1097/ICO.0000000000003232.
DS Docta Complutense
RD 11 abr 2025