[Deep anterior lamellar keratoplasty in keratoconus]
Larrea Bonavento N, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A,
Record ID 32018001551
Spanish
Original Title:
Queratoplastia lamelar anterior profunda en queratocono
Authors' recommendations:
Moderate-quality evidence suggests that deep anterior lamellar keratoplasty did not prove to be better than penetrating keratoplasty in improving visual acuity in patients with keratoconus, or in improving graft survival or in the incidence of graft failure, although it would suggest that it might cause lower graft rejection rates; this being one of the causes of graft failure. The results are contradictory among the randomized clinical trials identified, the observational studies and the real-life evidence.
Some clinical practice guidelines surveyed recommend its use for selected patients (see full text), whereas others do not recommend it when compared with penetrating keratoplasty.
Of the public and private health funders surveyed, some cover this procedure as an alternative to penetrating keratoplasty, whereas other do not consider it among their coverage policies or mention it.
No cost-effectiveness or budget impact studies were found in Argentina.
Details
Project Status:
Completed
Year Published:
2019
URL for published report:
https://www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Keratoconus
- Keratoplasty, Penetrating
- Corneal Transplantation
- Graft Survival
- Graft Rejection
- Visual Acuity
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.