Research Article

Predictive Factors for Successful Type 1 Big Bubble during Deep Anterior Lamellar Keratoplasty

Table 1

Optical coherence tomography classification of keratoconus.

StageCharacteristics

1Thinning of epithelial and stromal layers at the conus. Corneal layers have a normal aspect.
2Hyperreflective anomalies occurring at Bowman’s layer level and epithelial thickening at the conus:
2a: Clear stroma.
2b: Stromal opacities.
3Posterior displacement of the hyperreflective structures occurring at Bowman’s layer level with increased epithelial thickening and stromal thinning:
3a: Clear stroma.
3b: Stromal opacities.
4Pan-stromal scar.
5Hydrops stage:
5a: Acute onset, characterized by the rupture of Descemet’s membrane with delamination of collagen lamellae, large fluid-filled intrastromal cysts, and the formation of epithelial edema.
5b: Healing stage, pan-stromal scarring with a remaining aspect of Descemet’s membrane rupture.