Dr. Cristian Moraru - Ziemer Z8 FemtoLaser assisted DALK - Big Air-Bubble "Two Steps" Technique скачать в хорошем качестве

Dr. Cristian Moraru - Ziemer Z8 FemtoLaser assisted DALK - Big Air-Bubble "Two Steps" Technique

An advanced Keratoconus (Stage IV) with Vogt striae and few small leucomas, underwent surgery: Deep Anterior Lamellar Keratoplasty (DALK), with the help of FemtoLaser Ziemer Z8. The Laser OCT helped the surgeon tu visualize in a very precise manner where exactly, at what depth the initial circular groove must be done, in order to be at about 80% of the corneal thickness, at the point of the desired diameter of the cut (and graft). After injection of the big-bubble, the surgeon separates manually the corneal stroma in two layers, in order to see better and to be safer when puncturing the stroma in the air bubble. The surgeon performes the "host part of the surgery" two steps: first, he eliminates manually the anterior stroma, and secondary, he detached from the underlying Descemet and eliminates the posterior stroma.