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    Femtosecond Laser–Assisted Epidescemetic Keratoprosthesis

    By Jorge L. Alio, MD, PhD; Ahmed A. A. Abdelghany, Sr, MBBCH, MD, PHD; Alfredo V. Estrada, MD; Roberto F. Buenaga, MD
    AAO 2014
    Cornea/External Disease

    This video describes the technique of implantation of an epidescemetic keratoprosthesis with the assistance of a femtosecond laser, an easy technique with minimal complications. A deeper outer diameter cut is made followed by a shallower cut in the interior corneal dissection. The cut is set at 100 µm from the Descemet membrane and then the stroma dissected manually with a crescent knife. Anterior segment optical coherence tomography pachymetry is used to plan a good depth of the femtosecond cuts. The optical zone of 3.5 mm must be placed in the visual axis.