A modified surgical technique for Descemet's stripping automated endothelial keratoplasty (DSAEK) in altered or abnormal anatomy.

ABSTRACT:

Purpose

This paper describes a modified technique for the Descemet's Stripping Automated Endothelial Keratopasty (DSAEK) surgery in eyes with abnormal or altered anatomy. Certain anatomic abnormalities increase the level of surgical complexity, and lead to increased risk of donor lenticule detachment. These challenges include aniridia, abnormal iris, aphakia and hypotony from previous vitrectomy.

Observations

The Sheets glide was trimmed to 4mm in width and inserted into the clear-corneal wound. The "needle-push"/Fichman glide technique was used to insert the DSAEK donor graft. The modification of the technique involves maintaining the Sheets glide in the eye for the duration of the intraoperative air bubble. After confirming desired orientation of the graft, air was injecte

SUBMITTER: Koo EH 

PROVIDER: S-EPMC6598032 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature