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Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique

Purpose: This study aims to assess the postoperative results, variability, and complications of a hundred deep anterior lamellar keratoplasty cases. Study design and duration: This is an observational study. The study was conducted at Pak International Medical College (PIMC) for a duration of four y...

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Autores principales: Basit, Abdul, Nafees, Hamid, Khan, Bakht D, Marwat, Mir Z, Iqbal, Sofia, Rehman, Saud A, Abdullah, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625428/
https://www.ncbi.nlm.nih.gov/pubmed/37927665
http://dx.doi.org/10.7759/cureus.46528
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author Basit, Abdul
Nafees, Hamid
Khan, Bakht D
Marwat, Mir Z
Iqbal, Sofia
Rehman, Saud A
Abdullah, Muhammad
author_facet Basit, Abdul
Nafees, Hamid
Khan, Bakht D
Marwat, Mir Z
Iqbal, Sofia
Rehman, Saud A
Abdullah, Muhammad
author_sort Basit, Abdul
collection PubMed
description Purpose: This study aims to assess the postoperative results, variability, and complications of a hundred deep anterior lamellar keratoplasty cases. Study design and duration: This is an observational study. The study was conducted at Pak International Medical College (PIMC) for a duration of four years (January 2019-January 2023). Methodology: Our study collected information on a hundred cases of deep anterior lamellar keratoplasty (DALK) utilizing Anwar's big bubble technique, consisting of patients with keratoconus, superficial corneal scars, and macular dystrophy. Consenting patients had their pre and postoperative visual acuities and keratometry readings recorded. Overall success and complications were recorded and compared with the present literature. Results: Big bubble formation was achieved in 87% (n = 87) eyes and not achieved in 13% (n=13). There was a significant reduction in keratometry values after the procedures as well as improved vision in all patients, with 84% reporting significant improvement. Descemet membrane exposure was achieved in 91% (n=91). Complications included the failure of Anwar’s big bubble formation in 13% (n=13) patients and the failure to expose Descemet’s in nine patients (9%). Conclusion: DALK using the big bubble technique is a safe and effective procedure in patients with corneal diseases who have a healthy Descemet membrane and endothelium.
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spelling pubmed-106254282023-11-05 Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique Basit, Abdul Nafees, Hamid Khan, Bakht D Marwat, Mir Z Iqbal, Sofia Rehman, Saud A Abdullah, Muhammad Cureus Ophthalmology Purpose: This study aims to assess the postoperative results, variability, and complications of a hundred deep anterior lamellar keratoplasty cases. Study design and duration: This is an observational study. The study was conducted at Pak International Medical College (PIMC) for a duration of four years (January 2019-January 2023). Methodology: Our study collected information on a hundred cases of deep anterior lamellar keratoplasty (DALK) utilizing Anwar's big bubble technique, consisting of patients with keratoconus, superficial corneal scars, and macular dystrophy. Consenting patients had their pre and postoperative visual acuities and keratometry readings recorded. Overall success and complications were recorded and compared with the present literature. Results: Big bubble formation was achieved in 87% (n = 87) eyes and not achieved in 13% (n=13). There was a significant reduction in keratometry values after the procedures as well as improved vision in all patients, with 84% reporting significant improvement. Descemet membrane exposure was achieved in 91% (n=91). Complications included the failure of Anwar’s big bubble formation in 13% (n=13) patients and the failure to expose Descemet’s in nine patients (9%). Conclusion: DALK using the big bubble technique is a safe and effective procedure in patients with corneal diseases who have a healthy Descemet membrane and endothelium. Cureus 2023-10-05 /pmc/articles/PMC10625428/ /pubmed/37927665 http://dx.doi.org/10.7759/cureus.46528 Text en Copyright © 2023, Basit et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Ophthalmology
Basit, Abdul
Nafees, Hamid
Khan, Bakht D
Marwat, Mir Z
Iqbal, Sofia
Rehman, Saud A
Abdullah, Muhammad
Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique
title Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique
title_full Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique
title_fullStr Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique
title_full_unstemmed Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique
title_short Bubbling With Confidence: A Study of Numerous Deep Anterior Lamellar Keratoplasty Cases Using Anwar’s Big Bubble Technique
title_sort bubbling with confidence: a study of numerous deep anterior lamellar keratoplasty cases using anwar’s big bubble technique
topic Ophthalmology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625428/
https://www.ncbi.nlm.nih.gov/pubmed/37927665
http://dx.doi.org/10.7759/cureus.46528
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