Progress on the treatment of advanced keratoconus with bowman layer Inlay and Onlay transplantation
Journal Title: Eye Science (Yanke Xuebao) - Year 2023, Vol 38, Issue 11
Abstract
With the continuous advancement of corneal disease treatment technology, Bowman layer transplantation (including Inlay and Onlay technology) has become an important means for the treatment of advanced progressive keratoconus, which can effectively improve the corneal topography and visual acuity of patients, stabilize corneal dilation, and improve the quality of life of patients. This article reviews the theoretical basis of Bowman layer transplantation, the source and preparation of grafts, surgical techniques, clinical efficacy, and related complications, which provides a new perspective for the treatment of advanced keratoconus. It is stated in the research that this advanced transplantation technique has significant advantages over traditional methods in reducing surgical risks, simplifying the surgical procedures, and improving postoperative recovery. Especially in reducing the risk of allograft rejection and surgical complications, the bowman layer transplantation performs excellently. As a novel developed method, Onlay technology has the unique advantage of eliminating the need to dissect the cornea, which better protects the corneal structure. In addition, due to the highly adaptable and reversible nature of this technique, it provides patients with more treatment options and better visual recovery. However, in terms of technical details such as customizing the size and shape of the transplant, optimizing the surgical depth, etc., it is needed to conduct further research and optimization to improve the overall treatment effect.
Authors and Affiliations
Linxin GUO, Mengyang JIANG, Chunyang ZHOU
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