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Figure 12: Specular microscopy after Deep anterior lamellar keratoplasty (DALK) in Macular Corneal Dystrophy. Specular microscopy images (1c, 2c and 3c) showing the drop out areas/guttae similar to that is seen in FECD. Pre-operative endothelial imaging is not possible due to stromal deposits, but after DALK, restoration of stromal clarity helps in capturing the endothelial images. Notice the severe Descemet membrane changes (3c) in the third patient compared to the first (1a-c) and the second patient (3a-c). |
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