Residual corneal stroma in big-bubble deep anterior lamellar keratoplasty: a histological study in eye-bank corneas

Abstract

It should no longer be assumed that big-bubble DALK, where the bubble has a white margin, routinely bares DM. True baring of DM may only occur with the less commonly seen clear margin bubble.

Big bubble deep anterior lamellar keratoplasty: the collagen layer in the wall of the big bubble is unique

“…McKee et al. () described it as ‘residual stroma’ and Jester et al. () in an informative and balanced editorial which partly related to our paper (Dua et al.…”

Dynamics of big bubble formation in deep anterior lamellar keratoplasty by the big bubble technique: in vitro studies

“…Despite the initial controversy (McKee et al. ; Schlötzer‐Schrehardt et al. ), the lack of airspaces in PDL and its impervious (to air) nature; the concentration of elastin fibres in PDL (Lewis et al.…”

Intraoperative Review of Different Bubble Types Formed During Pneumodissection (Big-Bubble) Deep Anterior Lamellar Keratoplasty

“…Recent studies have suggested that the cleavage plane in the BB that forms with the white margin is actually intrastromal 7,8 and that the cleavage plane in clear margin bubbles was between the stroma and DM and not intra-DM. 7,9 Other authors have named the white margin bubble with an intrastromal dissection plane as a type 1 bubble and the clear margin bubble as a type 2 bubble. 10 The aim of this study was to retrospectively review preoperative factors and intraoperative complications of BB DALK in light of the 2 different bubble types.…”