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First steps in Descemet's stripping automated endothelial keratoplasty: outcomes and complications

Poster Details

First Author: C.Espinoza Lavalle SPAIN

Co Author(s):    B. Hoyos Sanabria   M. Cruz Gallardo                 

Abstract Details

Purpose:

To report our first two years outcomes and complications after performing Descemet stripping automated endothelial keratoplasty (DSAEK) using manual microkeratome

Setting:

Corneal transplantation has undergone a rapid advance with the development of new procedures in the field of lamellar surgery, particularly posterior lamellar graft or endothelial keratoplasty for endothelial dysfunction

Methods:

Records of all patients who underwent DSAEK in Hospital Universitario Puerta del Mar of Cadiz from February 2013 to February 2015 were reviewed. DSAEK was performed for Fuchs corneal dystrophy (FD), pseudophakic or aphakic bullous keratopathy (PBK), congenital glaucoma (CG) or failed DSAEK. Best corrected distance visual acuity (BCVA) in the first and sixth month of follow-up were measured. Other factors analyzed were the graft thickness (GT) and the presence of preoperative stromal fibrosis.

Results:

A total of 24 eyes in 21 patients were operated during this period. 15 (63%) with FD, 7 (29%) with PBK, 1 (4%) with CG and another 1 (4%) with failed DSAEK. There were 3 graft failures (12,5%). Mean BCVA improved 2,5 lines compared to preoperative values in the first month, in spite of failures. At 6 month, 46 % achieved BCVA 0,5 or better, considering only 13 patients and complications not related to the keratoplasty. BCVA was not worse in patients with preoperative stromal fibrosis.

Conclusions:

DSAEK is an effective surgical technique for different endothelial diseases as our results showed. Described complications, such as graft failure, can be treated by a similar procedure or an alternative one like penetrating keratoplasty. Stromal fibrosis preoperative did not seem to have a negative influence on BCVA.

Financial Disclosure:

NONE

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