The short-term results of Descemet's stripping and automated endothelial keratoplasty

Yoshiyuki Ichihashi, Machiko Tomita, Jun Shimazaki

Research output: Contribution to journalArticle

Abstract

PURPOSE: To investigate the short-term results of Descemet's stripping and automated endothelial keratoplasty (DSAEK) for endothelial dysfunction. MATERIALS AND METHODS: Twenty-three eyes of 23 patients with corneal edema following DSAEK were retrospectively analyzed. Corneal edema following laser iridotomy was the most common cause (13 eyes) followed by pseudophakic bullous keratopathy (5 eyes). Donor buttons prepared by the oversea eye banks were used (pre-cut donor button). They were inserted through a 5-mm incision using either the taco technique (7 eyes) or pull-through technique (16 eyes). After surgery air was injected into the anterior chamber at the end of surgery. Ten patients underwent simultaneous phacoemulsification and posterior chamber intraocular lens implantation. Corneal clarity, visual acuity, astigmatism, and endothelial cell density were investigated. RESULTS: Mean decimal preoperative best-corrected visual acuity was 0.05. Postoperatively, 13/23 (56.5%) patients achieved visual acuity of 0.5 or better at last follow-up. Mean postoperative astigmatism was within 2 D. Mean endothelial cell density of donor corneas was 2567 +/- 294 cells/mm2, and the mean density was 957 +/- 314 cells/mm2 6 months after DSAEK. CONCLUSIONS: DSAEK provided excellent refractive and reasonable visual outcomes in this shortterm observation. Prevention of endothelial loss seems to be the key to long-term success.

Original languageEnglish
Pages (from-to)721-726
Number of pages6
JournalNippon Ganka Gakkai zasshi
Volume113
Issue number7
Publication statusPublished - 2009 Jul
Externally publishedYes

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Descemet Stripping Endothelial Keratoplasty
Visual Acuity
Corneal Edema
Astigmatism
Tissue Donors
Endothelial Cells
Cell Count
Eye Banks
Intraocular Lens Implantation
Phacoemulsification
Anterior Chamber
Cornea
Lasers
Air
Observation

ASJC Scopus subject areas

  • Ophthalmology

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The short-term results of Descemet's stripping and automated endothelial keratoplasty. / Ichihashi, Yoshiyuki; Tomita, Machiko; Shimazaki, Jun.

In: Nippon Ganka Gakkai zasshi, Vol. 113, No. 7, 07.2009, p. 721-726.

Research output: Contribution to journalArticle

Ichihashi, Y, Tomita, M & Shimazaki, J 2009, 'The short-term results of Descemet's stripping and automated endothelial keratoplasty', Nippon Ganka Gakkai zasshi, vol. 113, no. 7, pp. 721-726.
Ichihashi, Yoshiyuki ; Tomita, Machiko ; Shimazaki, Jun. / The short-term results of Descemet's stripping and automated endothelial keratoplasty. In: Nippon Ganka Gakkai zasshi. 2009 ; Vol. 113, No. 7. pp. 721-726.
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