ArticleEye and vision (London, England)2018
Manual mid-stromal dissection as a low risk procedure to stabilize mild to moderate progressive keratoconus.
Article in Eye and vision (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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9 authors at 1 institution in 2 countries.
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Abstract
backgroundTo evaluate the efficacy of manual mid-stromal dissection in stabilizing progressive keratoconus.
methodsSurgeries were performed in 16 eyes of 14 patients with progressive keratoconus. All eyes were examined before and at 1 day, 1 week, 1, 3, 6 and 12 months after surgery, and every 6 months thereafter. Pentacam (simK, Kmax and pachymetry), best corrected visual acuity (BCVA) and subjective refraction were recorded up to the latest follow-up visit (mean follow-up time 6.6 ± 2.4 years).
resultsAll surgeries were uneventful, and no postoperative complications occurred. Keratometry values (
conclusionsManual mid-stromal dissection was effective in 50% of keratoconic corneas with Kmax values < 60 D and may be considered in cases ineligible for other interventions such as UV-crosslinking, stromal ring implantation or Bowman layer transplantation. An advantage of the procedure may be that the tissue is unaltered and that no synthetic or biological implant is required.
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