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Prevention of graft detachment in challenging cases of Descemet"s stripping endothelial keratoplasty

Poster Details

First Author: L.Papaioannou GREECE

Co Author(s):    G. Tsolkas   P. Theodossiadis   M. Papathanassiou        

Abstract Details



Purpose:

To describe a technique that uses a transcorneal suture to attach the graft onto the recipient cornea in endothelial keratoplasty in patients of high-risk for graft detachment.

Setting:

Cornea Clinic, 2nd Ophthalmology Department, “Attikon” University Hospital, Athens, Greece.

Methods:

Case series including 3 patients who underwent Descemet Stripping Endothelial Keratoplasty in presence of high risk for graft detachment factors. We describe the use of a transcorneal fixation suture to compress the donor graft onto the back surface of the recipient cornea. Outcome measures included intraoperative and postoperative complications, graft attachment and clarity and endothelial cell count at a mean follow-up period of 14 months.

Results:

No intraoperative complications were noted and all grafts remained attached and clear at a mean 14-month follow-up period. The mean endothelial cell loss was 41.47% at 12 months.

Conclusions:

Temporary transcorneal fixation suture can be helpful in eliminating the risk of graft dislocation in high risk for graft detachment cases.

Financial Disclosure:

NONE

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