While there is steep learning curve to procedure, these cases are not difficult to handle
Worried about rupture during a deep anterior lamellar keratoplasty (DALK)? You may be overreacting.
While rupture is the most common complication of DALK, its repair is not as difficult as commonly thought.
A retrospective study of more than 1,000 eyes with descemet membrane (DM) ruptures during DALK found 91 ruptures. All of the ruptures were successfully repaired and there were no conversions to penetrating keratoplasty (PK).
“There is a very difficult and steep learning curve when a surgeon begins to perform DALK,” explained Enrica Sarnicola, MD, international fellow in cornea, Cincinnati Eye Institute, Cincinnati, OH, from the Università degli Studi di Siena, Italy. “In the very beginning, it is nice to know that conversion to PK can be used as a safety net. But as soon as a surgeon becomes comfortable with DALK, he should start repairing ruptures.
Fonte: Ophthalmology Times