Dr. VIJAY KUMAR SHARMA

Abstract

To show a modified suture-less and glue-less technique, termed as tuck in femtosecond laser assisted anterior lamellar keratoplasty (T-FALK), to achieve a good graft host junction apposition for anterior corneal scars.

T-FALK was performed in fifteen eyes of fifteen patients for anterior corneal scars. The donor and recipient lenticules were prepared using femtosecond laser. Side cut angle angle was kept at 45 degrees instead of 90 degrees whereas overall diameter and incision depth were decided based on clinical and topographical evaluation of anterior corneal scars. After removing the recipient’s anterior scarred lenticule, the transparent donor lenticule was positioned on recipient bed and margins tucked in under the recipient cornea. All patients had good graft host junction apposition postoperatively as demonstrated by ASOCT.

Conclusion: Suture-less and glue-less T-FALK can be the best way ahead for management of superficial anterior corneal scars with good visual outcome.