Bowman-stromal inlay using an intraocular lens injector for management of keratoconus

Mittal, Vikas; Rathod, Darshana; Sehdev, Nancy

doi:10.1097/j.jcrs.0000000000000644

Cited by 6 publications

(13 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The unfolding and proper centration of the inlay was achieved using a 26-gauge viscoelastic cannula. 6 The postoperative course was uneventful for both eyes. The CXL eye (left eye) showed subtle haze for the first 2 months.…”

Section: Case Reportmentioning

confidence: 95%

“…1 The precise surgical technique of BSI is described elsewhere. 6 After removing the epithelium, the femtosecond laser-assisted 160 µm of the anterior stromal graft (BSI containing Bowman's layer and anterior stroma) was harvested from healthy donor cornea (67 years old). The same laser created an intrastromal corneal pocket at 130 µm in the patient's right eye using modified laser settings.…”

Section: Case Reportmentioning

confidence: 99%

“…The same laser created an intrastromal corneal pocket at 130 µm in the patient's right eye using modified laser settings. 6 The inlay was injected into this pocket using an intraocular lens injector through a 3-mm incision (increasing the canal width used for releasing air bubbles in laser in situ keratomileusis). The unfolding and proper centration of the inlay was achieved using a 26-gauge viscoelastic cannula.…”

Section: Case Reportmentioning

confidence: 99%

“…[3][4][5] We recently published our work on combined Bowman's layer transplant and stromal augmentation (Bowman-Stromal Inlay [BSI]) to manage progressive keratoconus. 6 The surgery is technically simple and found to be effective in the stabilization of ectasia. 6 In the current study, we report the results of a comparison between BSI and CXL performed in a pediatric patient with progressive keratoconus.…”

mentioning

confidence: 99%

“…6 The surgery is technically simple and found to be effective in the stabilization of ectasia. 6 In the current study, we report the results of a comparison between BSI and CXL performed in a pediatric patient with progressive keratoconus.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Comparison of Bowman-Stromal Inlay With Contralateral Eye Corneal Cross-linking Performed for Progressive Keratoconus

Mittal¹,

Chatterjee²,

Pandya³

2021

Journal of Refractive Surgery Case Reports

Self Cite

View full text Add to dashboard Cite

PURPOSE:To report the outcomes of Bowman-Stromal Inlay (BSI) and corneal cross-linking (CXL) performed in the right and left eyes, respectively, of a pediatric patient with bilateral progressive ectasia. METHODS:A 10-year-old boy underwent CXL in his left eye for stage 2 keratoconus and BSI in his right eye for stage 4 keratoconus. Serial refractive and tomographic outcomes were recorded and analyzed. RESULTS:There was no progression of ectasia in either eye through the final follow-up visit at 28 months postoperatively. Compared to the left eye that underwent CXL, the right eye that underwent BSI showed a reduction in tomographic keratometry, astigmatism, superior-inferior asymmetry, and increased pachymetry. There was no perioperative complication in either eye.CONCLUSIONS: CXL and BSI achieved similar outcomes over the course of 2 years in arresting the progression of ectasia. BSI may have the additional benefit of increased postoperative pachymetry.

show abstract

Section: Case Reportmentioning

confidence: 95%

Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations