Maastricht 2017 Meeting Highlights Registration Programme Overview Exhibition Virtual Exhibition Hotels Satellite Meetings Visa Letter Application Star Alliance Travel Discount

10 - 12 February 2017, MECC Maastricht,The Netherlands.

This Meeting has been awarded 15 CME credits.

Influence of air tamponade time on graft adherence after Descemet's membrane endothelial keratoplasty

Search Abstracts by author or title
(results will display both Free Papers & Poster)

Session Details

Session Title: Cornea
Session Date/Time: Friday 10/02/2017 | 08:30-10:00
Paper Time: 09:30
Venue: Brussels Room 0.4

Co Author(s): J. Peraza-Nieves  L. Baydoun   T. Muller  I. Dapena  G. Melles     

Abstract Details


To compare clinical outcomes at 1 month using postoperative air tamponade durations of 60 vs. 45 vs. 30 minutes after Descemet membrane endothelial keratoplasty (DMEK) in eyes with uncomplicated Fuchsメ endothelial dystrophy (FED).


Netherlands Institute for Innovative Ocular Surgery / tertiary referral center


In this randomized, prospective, comparative, interventional case series, 30 eyes of 30 patients with FED that underwent DMEK using a postoperative air tamponade duration of 60 (group 1) vs. 45 (group 2) vs. 30 minutes (group 3) were evaluated, with 10 eyes in each group. At 1 month after surgery, graft attachment status, best corrected visual acuity (BCVA), endothelial cell density (ECD), central corneal thickness (CCT) and postoperative complications were recorded


One month after surgery, no clinically significant detachment was reported. Minor detachment (< 1/3 of graft size) was observed in 1 eye in group 2 and 3 (3.3% each) and in 2 eyes in group 1 (6.7%). No secondary interventions were required and no episodes of primary graft failure were documented. BCVA improved in all eyes. Mean ECD decline in all eyes was 40ᄆ15%. Mean preoperative pachymetry was 682ᄆ103ᄉm vs. 515ᄆ48ᄉm postoperatively (mean decrease of 23%). No significant differences were observed for any of the parameters between the groups.


Clinical outcomes at 1 month after DMEK were similar in all 3 groups with no significant graft detachments. These results may suggest that a reduction of postoperative air tamponade time from 60 to 45 or even 30 minutes may be a safe option for DMEK in eyes with uncomplicated FED.

Financial Disclosure:

receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

Back to previous