{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T08:39:23Z","timestamp":1782376763024,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate the clinical outcomes and in vivo confocal microscopy (IVCM) features of keratoconus patients who underwent deep anterior lamellar keratoplasty (DALK).<jats:italic>Methods<\/jats:italic>. DALK was performed using the big bubble technique in all the patients. If the bubble was not successful to bare the descemet membrane, a manual dissection layer-by layer was performed to expose a deep stromal plane close to the DM. The patients were divided in two groups depending on the intraoperative baring of the descemet membrane: predescemetic DALK (PD-DALK) and descemetic DALK (D-DALK) group.<jats:italic>Results<\/jats:italic>. One month after surgery the D-DALK patients show an increase of mean BCVA. In the PD-DALK group mean BCVA did not show significant improvement as compared to preoperative values. At 6 months after surgery mean BCVA was found to be similar in both groups. At 1 month IVCM the peak of reflectivity of the interface was lower in D-DALK group compared to PD-DALK. At 6 months the values of reflectivity were comparable.<jats:italic>Conclusions<\/jats:italic>. At 1 month D-DALK seems to lead to a minor interface reflectivity and to a better BCVA; these differences disappear after 6 months and the values of interface reflectivity and BCVA are comparable between D-DALK and PD-DALK.<\/jats:p>","DOI":"10.1155\/2014\/123156","type":"journal-article","created":{"date-parts":[[2014,8,26]],"date-time":"2014-08-26T17:15:54Z","timestamp":1409073354000},"page":"1-7","source":"Crossref","is-referenced-by-count":21,"title":["Descemetic and Predescemetic DALK in Keratoconus Patients: A Clinical and Confocal Perspective Study"],"prefix":"10.1155","volume":"2014","author":[{"given":"Domenico","family":"Schiano-Lomoriello","sequence":"first","affiliation":[{"name":"IRCCS Bietti Foundation, Via Livenza 3, 00198 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossella Annamaria","family":"Colabelli-Gisoldi","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Nubile","sequence":"additional","affiliation":[{"name":"Universita degli Studi \u201cGabriele D\u2019Annunzio\u201d, Chieti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2504-0004","authenticated-orcid":true,"given":"Francesco","family":"Oddone","sequence":"additional","affiliation":[{"name":"IRCCS Bietti Foundation, Via Livenza 3, 00198 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Ducoli","sequence":"additional","affiliation":[{"name":"IRCCS Bietti Foundation, Via Livenza 3, 00198 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo Maria","family":"Villani","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4890-3834","authenticated-orcid":true,"given":"Leonardo","family":"Mastropasqua","sequence":"additional","affiliation":[{"name":"Universita degli Studi \u201cGabriele D\u2019Annunzio\u201d, Chieti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Augusto","family":"Pocobelli","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2011.07.057"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e318254be4e"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.11.002"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.90490"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(01)01181-6"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3181d25e4d"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3181a31aea"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e318219bc1a"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/ICL.0b013e31802b3114"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.10-5614"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2006.01.071"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2004.02.010"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2012.04.002"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12136"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.81.3.184"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2014\/123156.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2014\/123156.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2014\/123156.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,8,18]],"date-time":"2016-08-18T07:49:56Z","timestamp":1471506596000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/bmri\/2014\/123156\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":15,"alternative-id":["123156","123156"],"URL":"https:\/\/doi.org\/10.1155\/2014\/123156","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}