Results of topography of the cornea following deep anterior lamellar keratoplasty

There are no remarkable reports about the topographic characteristics of the cornea following deep anterior lamellar keratoplasty (DLKP). In this study we tried to characterize the corneal topographic patterns following DLKP, and determine the correlations between these patterns with other factors. In this study optical DLPP with Melles technique was performed on 40 keratoconus eyes. Each patient was examined in four separate sessions once preoperatively, and three sessions at 3, 6, and 12 months postoperatively. The corneal topographic pattern of each exam was identified, and its correlations with other factors such as suturing technique were evaluated. The decreases in mean keratometry and mean corneal astigmatism and the conversion of irregular topographic patterns to regular patterns were significant following the operation. There were not any cases of immunologic endothelial rejection. We conclude that DLKP is a safe and predictable surgical treatment in keratoconus eyes.