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First Author: N.Ziakas GREECE
Co Author(s): A. Chranioti O. Diavati L. Lamprogiannis A. Malamas A. Mersinoglou I. Dragoumis
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Prospective study of the first series of patients undergoing Descemet stripping endothelial keratoplasty / Descemet stripping automated endothelial keratoplasty (DSEK/DSAEK) for the treatment of endothelial dysfunction.
1st Department of Ophthalmology, Aristotle University of Thessaloniki & Eye Bank of AHEPA Hospital, Greece
A total of 13 patients underwent DSEK/DSAEK between February 2012 and October 2012. Indications for treatment were 8 cases with Fuchs dystrophy and 5 patients with pseudophakic bullous keratopathy. Eight patients underwent DSEK, 3 patients underwent DSAEK and 2 patients underwent combined surgery with phacoemulsification.
Pre-operative visual acuity was ? 1/10 in all cases, with 61% confined to hand movement and count fingers. Postoperatively, the BCVA was ?0.2 in 69% (9/13) after 1 month, 73% (8/11) after 3 months and 87.5% (7/8) after 6 months and ?0.4 in 23% (3/13), 45% (5/11) and 75% (6/8) of the cases respectively. In the early postoperative period, two patients required rebubbling due to pupillary block and graft detachment. IOP was normal in all eyes and rejection didnt occur in any of the cases during follow-up.
DSEK/DSAEK provides successful visual restoration in eyes with a functional graft and good visual potential. Eyes with better preoperative visual acuity have faster and better visual rehabilitation.