Retrephination of eccentric donor graft for descemet stripping automated endothelial keratoplasty.

Details

Serval ID
serval:BIB_DA1533A8ED03
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Retrephination of eccentric donor graft for descemet stripping automated endothelial keratoplasty.
Journal
Cornea
Author(s)
Kymionis G.D., Diakonis V.F., Papathanasiou M., Yoo S.H.
ISSN
1536-4798 (Electronic)
ISSN-L
0277-3740
Publication state
Published
Issued date
09/2011
Peer-reviewed
Oui
Volume
30
Number
9
Pages
1058-1060
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
We describe a technique of intraoperative eccentric retrephination of Descemet stripping automated endothelial keratoplasty (DSAEK) donor graft to avoid the presence of epithelium on the graft lenticule. Trephination of the DSAEK graft may prove to be very challenging for surgeons, especially when flap diameter is small; this can result in an eccentric trephination and the presence of epithelium on the graft. Insertion of epithelium with DSAEK donor graft into the anterior chamber could result in epithelial ingrowth and downgrowth, complications that may lead to poor visual outcomes, graft detachment, and anterior chamber angle closure. A second eccentric retrephination is a simple and easy-to-perform intraoperative surgical step that could avoid the presence of corneal epithelium on the DSAEK donor graft.
Keywords
Cornea/surgery, Corneal Edema/surgery, Descemet Stripping Endothelial Keratoplasty, Female, Fuchs' Endothelial Dystrophy/surgery, Humans, Intraoperative Care, Middle Aged, Reoperation, Tissue Donors
Pubmed
Web of science
Create date
01/10/2019 14:21
Last modification date
06/10/2019 5:26
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