Abstract:
PURPOSE:To describe a technique that uses a transcorneal suture for safe delivery and fixation of donor tissue during Descemet stripping automated endothelial keratoplasty in patients that are at risk of graft dislocation into the vitreous cavity as a result of minimal or absent iris-lens diaphragm. DESIGN:Interventional case series. METHODS:Thirteen eyes with endothelial decompensation and inadequate iris-lens diaphragm underwent modified Descemet stripping automated endothelial keratoplasty surgery. A 10-0 Prolene suture (Ethicon Inc) was passed through the endothelial graft and used to pull the graft into the eye and anchor it onto the recipient cornea. Best-corrected visual acuity, refraction, and complications were recorded. RESULTS:Preoperative best-corrected visual acuity was less than 20/200 in all cases. Eleven patients had a pre-existing comorbidity (glaucoma, n = 8; previous retinal detachment, n = 2; epiretinal membrane n = 1). Average follow-up was 11.3 months (range, 3 to 36 months). No graft dislocation occurred during surgery. After surgery, graft detachment was noted in 2 cases and rebubbling succeeded in achieving reattachment. All patients had successful attachment of the endothelial graft. Postoperative best-corrected visual acuity improved in 11 of 13 patients and remained unchanged in 2 patients. CONCLUSIONS:In patients with insufficient iris-lens diaphragm, this technique allowed safe graft delivery, prevented intraoperative and postoperative graft dislocation, and facilitated successful rebubbling in case of postoperative graft detachment.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Patel AK,Luccarelli S,Ponzin D,Busin Mdoi
10.1016/j.ajo.2010.08.043subject
Has Abstractpub_date
2011-03-01 00:00:00pages
460-4.e2issue
3eissn
0002-9394issn
1879-1891pii
S0002-9394(10)00686-0journal_volume
151pub_type
杂志文章abstract::A 20-month-old boy with a ciliary body tumor presented with two white flocculi floating in the anterior chamber of his left eye. This material was examined by electron microscopy. Both the clinical appearance of the tumor and the ultrastructural findings suggested the diagnosis of medulloepithelioma. The flocculi cont...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
doi:10.1016/0002-9394(75)90089-6
更新日期:1975-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,评审
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更新日期:1975-09-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
doi:
更新日期:1987-03-15 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:2001-11-01 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:2016-10-01 00:00:00
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