American Journal of Ophthalmology
Volume 137, Issue 3 , Pages 397-400 , March 2004

Endothelial cell density after deep anterior lamellar keratoplasty (Melles technique)

  • Bart T.H. van Dooren, MD

      Affiliations

    • Rotterdam Eye Hospital, Rotterdam, The Netherlands (B.T.H.v.D., W.H.B.)
    • ,
  • Paul G.H. Mulder, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands (P.G.H.M.)
    • ,
  • Carla P. Nieuwendaal, MD

      Affiliations

    • Department of Ophthalmology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands (C.P.N.)
    • ,
  • W.Houdijn Beekhuis, MD

      Affiliations

    • Rotterdam Eye Hospital, Rotterdam, The Netherlands (B.T.H.v.D., W.H.B.)
    • ,
  • Gerrit R.J. Melles, MD, PhD

      Affiliations

    • Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands (G.R.J.M.)
    • University Hospital Groningen, Groningen, The Netherlands (G.R.J.M.)
    • Department of Ophthalmology, Fondation Rothschild, University of Paris 7, ParisFrance (G.R.J.M.)
    • Corresponding Author InformationInquiries to Gerrit R. J. Melles, MD, PhD, The Netherlands Institute for Innovative Ocular Surgery, H. A. Maaskantstraat 31, 3071 MJ Rotterdam, The Netherlands; fax: (+31) 10- 485-2419, website:www.niioc.nl

,Accepted 24 September 2003.

References 

  1. Bourne WM. Cellular changes in transplanted human corneas. Castroviejo lecture. Cornea. 2001;20:560–569
  2. Böhringer D, Reinhard T, Spelsberg H, Sundmacher R. Influencing factors on chronic endothelial cell loss characterised in a homogeneous group of patients. Br J Ophthalmol. 2002;86:35–38
  3. Sugita J, Kondo J. Deep lamellar keratoplasty with complete removal of pathological stroma for vision improvement. Br J Ophthalmol. 1997;81:184–188
  4. Melles GRJ, Lander F, Rietveld FJR, Remeijer L, Beekhuis WH, Binder PS. A new surgical technique for deep, anterior lamellar keratoplasty. Br J Ophthalmol. 1999;83:327–333
  5. Melles GRJ, Remeijer L, Geerards AJM, Beekhuis WH. A quick surgical technique for deep lamellar keratoplasty using visco-dissection. Cornea. 2000;19:427–432
  6. Manche EE, Holland GN, Maloney RK. Deep lamellar keratoplasty using viscoelastic dissection. Arch Ophthalmol. 1999;117:1561–1565
  7. Anwar M, Teichmann KD. The big bubble technique in baring of Descemet's membrane in anterior lamellar keratoplasty. J Cataract Refract Surg. 2002;28:398–403
  8. Melles GRJ, Rietveld FJR, Beekhuis WH, Binder PS. A technique to visualize corneal incision and lamellar dissection depth during surgery. Cornea. 1999;18:80–86
  9. Panda A, Bageshwar LMS, Ray M, Singh JP, Kumar A. Deep lamellar keratoplasty versus penetrating keratoplasty for corneal lesions. Cornea. 1999;18:172–175
  10. Shimazaki J, Shimmura S, Isioka M, Tsubota K. Randomized clinical trial of deep lamellar keratoplasty vs penetrating keratoplasty. Am J Ophthalmol. 2002;134:159–165
  11. Morris E, Kirwan JF, Sujatha S, Rostron CK. Corneal endothelial specular microscopy following deep lamellar keratoplasty with lyophilised tissue. Eye. 1998;12:619–622
  12. Bourne WM, Nelson LR, Hodge DO. Central corneal endothelial cell changes over a ten-year period. Invest Ophthalmol Vis Sci. 1997;38:779–782
  13. Böhringer D, Reinhard T, Godehardt E, Sundmacher R. Regression analysis of chronic endothelial cell loss after penetrating normal-risk keratoplasty (a retrospective clinical study). Klin Monatsbl Augenheilk. 2001;218:412–417
  14. Reinhard T, Böhringer D, Hüschen D, Sundmacher R. Chronic endothelial cell loss of the graft after penetrating keratoplasty (influence of endothelial cell migration from graft to host). Klin Monatsbl Augenheilk. 2002;219:410–416

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PII: S0002-9394(03)01141-3

doi: 10.1016/j.ajo.2003.09.053

American Journal of Ophthalmology
Volume 137, Issue 3 , Pages 397-400 , March 2004

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