Big-bubble keratoplasty

Authors: Bisbe, Laia; Deveney, Tatiana; Asbell, Penny A

Source: Expert Review of Ophthalmology, Volume 4, Number 5, October 2009 , pp. 553-561(9)

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Abstract:

A profusion of recent advances in surgical techniques is making both anterior and posterior lamellar keratoplasties more acceptable. Lamellar keratoplasties present both technical and functional challenges. A novel technique for anterior lamellar corneal surgery, termed `big-bubble' keratoplasty, appears to achieve similar functional results to those achieved by traditional penetrating keratoplasty while offering several specific advantages over full-thickness keratoplasty: no risk of endothelial rejection and subsequent corneal edema, less invasive surgery, improved wound integrity and decreased intra- and post-operative complications. The handicap of big-bubble keratoplasty is that it is a more demanding surgical technique than penetrating keratoplasty. In this article, we examine the original big-bubble surgical technique and its variants, and discuss results and complications.

Keywords: air; big-bubble keratoplasty; big-bubble technique; cornea transplantation; corneal stroma/surgery; corneal transplantation/method; deep anterior lamellar keratoplasty; Descemet's membrane/surgery; lamellar keratoplasty

Document Type: Research article

DOI: http://dx.doi.org/10.1586/eop.09.26

Affiliations: 1: Vall d'Hebron Hospital, Barcelona, Spain and Institut Comptal d'Oftalmologia, Barcelona, València 342 1º 2º 08009 Barcelona, Spain., Email: laia@bisbe.cat

Publication date: 2009-10-01

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