‘Acute-angled bevel’ sign to assess donor lenticule orientation in ultra-thin descemet stripping automated endothelial keratoplasty

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Descemet stripping automated endothelial keratoplasty

Endothelial keratoplasty is at present the gold standard for surgical treatment of corneal endothelial pathologies not associated with significant corneal scar. Tremendous progress has been made in recent years in improving the technology of endothelial keratoplasty techniques, such as descemet stripping automated endothelial keratoplasty (DSAEK) and descemet membrane endothelial keratoplasty. ...

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Banking of donor tissues for descemet stripping automated endothelial keratoplasty.

PURPOSE The demands for precut lamellar grafts for Descemet stripping automated endothelial keratoplasty rose in our eye bank from 74 in 2007 to 408 in 2010. To meet this expanding requirement, we explored the possibility to preserve these preparations in organ culture. METHODS Organ cultured corneas, stored in a medium containing 6% dextran, were mounted on a Moria artificial anterior chambe...

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Descemet-stripping Automated Endothelial Keratoplasty—A Review

Descemet-stripping automated endothelial keratoplasty (DSAEK) has become the procedure of choice to treat corneal endothelial dysfunction. The technique involves replacing the diseased host endothelium with a graft consisting of a thin layer of posterior stroma, Descemet membrane, and endothelium. In comparison to penetrating keratoplasty (PK), DSAEK confers quicker visual and structural recove...

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A sliding technique to load thin endothelial donor lamella onto Busin glide for Descemet-stripping automated endothelial keratoplasty

We describe a modified technique for loading donor corneal endothelial lamella onto a Busin glide(®) without causing wrinkles, as part of the procedure of Descemet-stripping automated endothelial keratoplasty. Briefly, after punching out a composite of the donor-endothelial lamella and a microkeratome-dissected cap, several drops of dispersive ophthalmic viscosurgical device are placed onto the...

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Graft Suturing for Lenticule Dislocation after Descemet Stripping Automated Endothelial Keratoplasty

PURPOSE To report the mid-term outcomes of graft suturing in a patient with lenticule dislocation after Descemet stripping automated endothelial keratoplasty (DSAEK). CASE REPORT A 78-year old woman was found to have graft dislocation involving the nasal half of the cornea after uneventful DSAEK. Graft repositioning, refilling the anterior chamber with air, and placement of four full-thicknes...

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ژورنال

عنوان ژورنال: BMJ Case Reports

سال: 2019

ISSN: 1757-790X

DOI: 10.1136/bcr-2018-227927