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Analysis of lamellar thickness and visual outcomes of single-pass ultra-thin (SP-UT) DSAEK using the Gebauer 500ṁm and 550ṁm cutting head

Poster Details

First Author: R.Jayaswal UK

Co Author(s):    S. Damanhuri   B. Clarke   R. Nicholson        

Abstract Details



Purpose:

To report the visual outcomes and lamellar thickness at 6 months of “single pass ultra thin” (SP-UT) DSAEK.

Setting:

Queen Alexandra Hospital, Portsmouth, UK

Methods:

Standardised, topical, sutureless SP-UT DSAEK was performed in 11 eyes between November 2012 and March 2013. Donor lamellae were prepared using the 500ṁm and 550ṁm Gebauer microkeratome heads with a target residual thickness of <100ṁm. Best spectacle-corrected visual acuity (BSCVA), manifest refraction, and OCT central graft thickness were assessed at 1 week and 1, 3, and 6 months after SP-UT DSAEK.

Results:

All 11 corneal lamellae were prepared successfully without perforation and surgery was uncomplicated. All 11 donor grafts showed a consistently smooth preparation with a thickness of <100ṁm. Visual recovery was excellent and rapid in all cases with vision clearing at 1 month.

Conclusions:

SP-UT DSAEK is a simple technique offering all the advantages of conventional DSAEK whilst displaying similar visual benefits to DMEK.

Financial Disclosure:

... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

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