descemet stripping automated endothelial keratoplasty in pseudophakic bullous keratoplathy versus fuchs’ endothelial dystrophy

نویسندگان

محمدعلی جوادی

ma javadi ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranمرکز تحقیقات چشم- دانشگاه علوم پزشکی شهید بهشتی- تهران- ایران سپهر فیضی

s feizi مرکز تحقیقات چشم- دانشگاه علوم پزشکی شهید بهشتی- تهران- ایران رویا جعفری

r jafari مرکز تحقیقات چشم- دانشگاه علوم پزشکی شهید بهشتی- تهران- ایران فیروز میربابایی

f mirbabaee تهران- پاسداران- بوستان نهم- خیابان پایدارفرد (خیابان امیر ابراهیمی)- پلاک 23- مرکز تحقیقات چشم

چکیده

purpose: to compare clinical and confocal scan outcomes after descemet stripping automated endothelial keratoplasty (dsaek) performed for fuchs’ endothelial dystrophy versus pseudophakic bullous keratopathy. methods: in this retrospective comparative study, 47 consecutive eyes of 39 patients with the diagnosis of fuchs’ endothelial dystrophy (n=29, group 1) or pseudophakic bullous keratopathy (n=18, group 2) that underwent dsaek were enrolled.  postoperatively, confocal microscopy was used to measure central corneal and graft thickness and endothelial cell density and morphology. postoperative visual acuity, refractive outcomes, graft endothelial cell count, central corneal and graft thickness, and postoperative complications were compared between the study groups. results: mean age at the time of surgery were 65.2±11.8 and 69.4±12.5 years in groups 1 and 2, respectively (p=0.27). follow-up period were 23.6±14.0 months in group 1 and 25.6±15.7 months in group 2 (p=0.79).  postoperative best spectacle-corrected visual acuity was significantly better in group 1 than in group 2 in 6 months after surgery. afterwards, the two study groups were comparable in this regard. postoperative spherical equivalent refractive error was +0.39±1.46 d in group 1 and +0.80±1.47 d in group 2 (p=0.45). postoperative refractive astigmatism was 1.02±0.83 d and 2.36±0.67 d, respectively (p<0.001). mean central graft thickness was 98.0±33.3 µm in group 1 and 107.6±28.0 µm in group 2 (p=0.45). no significant statistically difference was observed between two groups in postoperative endothelial cell density. conclusion: outcomes of dsaek surgery were comparable between fuchs’ endothelial dystrophy and pseudophakic bullous keratopathy. all grafts were clear despite lower than normal endothelial cell counts.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Descemet Stripping Automated Endothelial Keratoplasty in Fuchs’ Endothelial Dystrophy versus Pseudophakic Bullous Keratopathy

PURPOSE To compare clinical and confocal scan outcomes after Descemet stripping automated endothelial keratoplasty (DSAEK) performed for Fuchs' endothelial dystrophy (FED) versus pseudophakic bullous keratopathy (PBK). METHODS This retrospective comparative study included 47 consecutive eyes of 39 patients with the diagnosis of FED (n = 29, group 1) or PBK (n = 18, group 2) that underwent DSA...

متن کامل

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. ...

متن کامل

Quality of vision in patients with fuchs endothelial dystrophy and after descemet stripping endothelial keratoplasty.

OBJECTIVE To evaluate the quality of vision (visual acuity and straylight) in patients with Fuchs dystrophy and the improvement in visual quality after Descemet stripping endothelial keratoplasty (DSEK). METHODS There was an observational case series (Amsterdam group) and a prospective interventional case series (Mayo group). Corrected distance visual acuity (CDVA), straylight, and corneal th...

متن کامل

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...

متن کامل

Non-Descemet Stripping Automated Endothelial Keratoplasty for Bullous Keratopathy in Buphthalmic Eye

PURPOSE To report the 2-year follow-up findings in a patient with buphthalmic bullous keratopathy (BK) who was successfully treated with non-Descemet stripping automated endothelial keratoplasty (nDSAEK). METHODS A 39-year-old man had an endothelial graft of 8.0 mm diameter placed uneventfully using the nDSAEK method for phakic BK with buphthalmos of the left eye. He had had a penetrating ker...

متن کامل

Descemet’s stripping automated endothelial keratoplasty for congenital hereditary endothelial dystrophy

Congenital hereditary endothelial dystrophy (CHED), presents in infancy or early childhood with bilateral clouding of corneas. This condition has previously been managed surgically with penetrating keratoplasty (PKP). Performing PKP in pediatric patients has its own set of difficulties. More recently, there has been growing interest in treating this condition with Descemet's stripping automated...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
بینا

جلد ۲۱، شماره ۲، صفحات ۱۰۸-۱۱۶

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023