Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits.

Details

Serval ID
serval:BIB_BB71D1779FA0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits.
Journal
Indian journal of ophthalmology
Author(s)
Kymionis G.D., Voulgari N., Kontadakis G.A., Mikropoulos D., Petrovic A., Droutsas K.
ISSN
1998-3689 (Electronic)
ISSN-L
0301-4738
Publication state
Published
Issued date
01/2020
Peer-reviewed
Oui
Volume
68
Number
1
Pages
174-176
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
We describe an effective technique for the management of graft-host interface haze associated with interface deposits after Descemet-stripping automated endothelial keratoplasty (DSAEK) with bimanual irrigation/aspiration. A Tan marginal dissector was used to separate the graft from the stroma in the nasal two-thirds of the graft-host interface. The aspiration handpiece was inserted in the interface through the nasal side-port corneal incision and a separate irrigation tip was placed in the anterior chamber (AC) through the temporal corneal paracentesis. Meticulous rinsing of the two-thirds of the interface area and the AC was performed. At the end of the procedure, air was injected into the AC to float the donor graft against the host stromal bed and facilitate graft adherence. Postoperative anterior segment optical coherence tomography and slit-lamp examination confirmed elimination of the interface haze-deposits and a well-attached graft. An improvement in visual acuity was noted.
Keywords
DSAEK complications, Descemet-stripping automated endothelial keratoplasty, interface deposits, interface haze, surgical management
Pubmed
Open Access
Yes
Create date
03/01/2020 17:33
Last modification date
21/01/2020 7:26
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