Gnaneshwar benefits from Femtosecond assisted lamellar keratoplasty

Gnaneshwar Narayan Kondke a 20 year old student from Aurangabad, Maharashtra, had a genetic disease of the cornea called Gelatinous Drop like Corneal Dystrophy (GDLD). This had affected other members in his family too. When he came to LVPEI in 2013, he was unable to open his eyes in bright light and his vision was restricted to only identifying hand movements close to his face.

A debridement (removal of damaged tissues) of the cornea and an amniotic membrane grafting was done. His vision improved, but the nature of GDLD is that it recurs. His vision now was limited to counting fingers at a distance of 5 metres and he was once again facing photophobia. Gnaneshwar’s brother, who also had the same problem and was operated elsewhere had also experienced reoccurrence of GDLD several times. In January 2016, Gnaneshwar underwent femtosecond laser assisted sutureless anterior lamellar keratoplasty (FALK) at TKCI by Dr Jagadesh Reddy. His vision today has improved to 20/30. Dr Jagadesh says, “GDLD has a very high recurrence and hence performing FALK will help in replacing the graft multiple times without affecting the visual outcome. Only a few centres in the world have facilities and expertise to perform advanced surgeries like the one done for Gynaneshwar.”