Effects of corneal irregular astigmatism on visual acuity after conventional and femtosecond laser-assisted Descemet’s stripping automated endothelial keratoplasty

Daisuke Tomida, Takefumi Yamaguchi, Akiko Ogawa, Yumiko Hirayama, Seika Shimazaki-Den, Yoshiyuki Satake, Jun Shimazaki

Research output: Contribution to journalArticle

12 Citations (Scopus)


Purpose: To compare short-term outcomes of Descemet’s stripping automated endothelial keratoplasty (DSAEK) using a graft prepared with either a femtosecond laser or a microkeratome. Methods: Thirty-eight patients underwent DSAEK with grafts prepared with either a femtosecond laser (f-DSAEK; 21 eyes) or a microkeratome (m-DSAEK; 17 eyes). Visual acuity, endothelial cell density, regular astigmatism and irregular astigmatism were compared between the two groups preoperatively and at 1, 3, and 6 months post-operatively. Fourier analysis was conducted to calculate astigmatism of the anterior and posterior surfaces, and total cornea, using anterior segment optical coherence tomography (AS-OCT). Results: Visual acuity (logMAR) improved from 1.20 ± 0.60 to 0.43 ± 0.25 after m-DSAEK (P 

Original languageEnglish
Pages (from-to)216-222
Number of pages7
JournalJapanese Journal of Ophthalmology
Issue number4
Publication statusPublished - 2015 Jun 2



  • Anterior segment imaging
  • Endothelial keratoplasty
  • Femtosecond laser
  • Higher order aberration

ASJC Scopus subject areas

  • Ophthalmology

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