Academic Journal
Spike sign – To predict the formation of big bubble in deep anterior lamellar keratoplasty in advanced keratoconus
| العنوان: | Spike sign – To predict the formation of big bubble in deep anterior lamellar keratoplasty in advanced keratoconus |
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| المؤلفون: | Sharon D’Souza, Rohit Shetty |
| المصدر: | Indian Journal of Ophthalmology, Vol 72, Iss 5, Pp 745-747 (2024) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Ophthalmology |
| مصطلحات موضوعية: | big bubble, dalk, spike sign, Ophthalmology, RE1-994 |
| الوصف: | Lamellar surgeries have revolutionized our understanding and practice of keratoplasties. However, the learning curve in deep anterior lamellar keratoplasty (DALK) makes it daunting for novice surgeons. This paper describes a unique intraoperative sign – the radial “spike sign,” which heralds the commencement of a big bubble in some cases of advanced keratoconus in eyes that have not undergone any previous surgery. The spike sign was noted during big bubble DALK surgery and was then retrospectively looked for in recorded DALK surgical videos and correlated with the formation of a big bubble. The movement of air after injection was classified into the direct formation of a big bubble, stromal emphysema with no big bubble, and emphysema with the spike sign followed by a big bubble. In total, 104 surgical videos of big bubble attempts were evaluated and classified as such. The spike sign helps reduce the number of unnecessary attempts at big bubble formation during DALK, thus improving surgical outcomes. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0301-4738 1998-3689 |
| Relation: | https://journals.lww.com/10.4103/IJO.IJO_1205_23; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689 |
| DOI: | 10.4103/IJO.IJO_1205_23 |
| URL الوصول: | https://doaj.org/article/e427329b641c421da84e3a4cc5f8e792 |
| رقم الانضمام: | edsdoj.427329b641c421da84e3a4cc5f8e792 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 03014738 19983689 |
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| DOI: | 10.4103/IJO.IJO_1205_23 |