Official ESCRS | European Society of Cataract & Refractive Surgeons
Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


escrs app advert yo advert

Bowman's layer transplantation for advanced keratoconus: clinical outcomes up to five years after surgery

Search Title by author or title

Session Details

Session Title: Cornea Surgical II

Session Date/Time: Tuesday 13/09/2016 | 08:00-10:30

Paper Time: 08:58

Venue: Hall C2

First Author: : K.van Dijk THE NETHERLANDS

Co Author(s): :    I Dapena   J. Parker   E. Groeneveld   G. Melles           

Abstract Details


To evaluate the mid-term clinical results of Bowman layer transplantation, a new surgical technique to reduce and stabilize ectasia in eyes with advanced keratoconus, to postpone penetrating or deep anterior lamellar keratoplasty and to enable continued contact lens wear.


Netherlands Institute for Innovative Ocular Surgery/tertiary referral center


In twenty-two eyes of 19 patients with progressive, advanced keratoconus, not eligible for UV-crosslinking, a mid-stromal manual dissection was performed and an isolated donor Bowman layer was positioned within the stromal pocket. Before and up to 60 months after surgery, best spectacle-corrected visual acuity (BSCVA), best contact lens-corrected visual acuity (BCLVA), Scheimpflug-based corneal tomography measurements, endothelial cell density, biomicroscopy, and intra- and postoperative complications were evaluated.


Mean maximum keratometry decreased on average from 77.2 (±6.2) D to 69.2 (±3.7) D at one month after surgery (P<.05), and remained stable thereafter (P>.05). Mean LogMar BSCVA improved from 1.27 (±0.44) before to 0.90 (±0.30) 12 months after surgery (P<.05), and stabilization thereafter (P>.05). During the whole follow-up period no change in mean BCLVA was observed (P>.05). Pachymetry increased from before to one month postoperatively (P<.05), after which no changes were found (P>.05). No postoperative complications were observed, and endothelial cell density remained stable from before to after the surgery (P>.05).


With isolated Bowman layer transplantation, reduction of corneal ectasia and stabilization up to five years thereafter was achieved in eyes with progressive, advanced keratoconus. The procedure may be performed to postpone penetrating or deep anterior lamellar keratoplasty.

Financial Disclosure:

... receives consulting fees, retainer, or contract payments from a competing company

Back to previous