Double-Line Reflection Pattern as a Simple Method to Determine Graft Orientation of Descemet Membrane Endothelial Keratoplasty.

Abstract:

PURPOSE:To describe a simple finding, consisting of a double-line reflection from the graft inside the anterior chamber, that can be used to determine the correct donor tissue orientation in Descemet membrane endothelial keratoplasty: which we would like to call Berrospi's sign. METHODS:Evaluation of the presence of linear reflection from the donor tissue when implanted in the anterior chamber. RESULTS:A distinctive double-line reflection pattern was identified when careful observation of the curls of the scroll was performed under the surgical microscope, which was a confirmatory sign that the graft was in the correct position. CONCLUSIONS:This method of confirming correct graft orientation requires no additional procedures, equipment, or manipulation of the donor tissue and can be used in conjunction with other marking methods already described.

journal_name

Cornea

journal_title

Cornea

authors

Berrospi RD,Galvis V,Bhogal M,Tello A

doi

10.1097/ICO.0000000000001889

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

768-771

issue

6

eissn

0277-3740

issn

1536-4798

journal_volume

38

pub_type

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