Wound-assisted air injection in Descemet Stripping Automated Endothelial Keratoplasty.

ABSTRACT:

Background

Early postoperative graft detachment remains one of the most common complications of DSAEK.

Objectives

To describe a modification of a simple method to facilitate a firm AC, without a leak, during DSAEK.

Method

Ten consecutive DSAEK surgeries were reviewed. Surgery was performed by a single surgeon (HA). At the beginning of surgery, a trapezoid paracentesis was made at the limbus using a 20G MVR blade. The trapezoid incision was made by inserting the blade halfway, creating a cut with an internal opening half the width of its external opening. After inserting the corneal disc and suturing the main incision, air was injected with a 25G tapered hydrodelineation cannula. The tip was engaged at the trapezoid paracentesis and did not enter the anterior chamber.

SUBMITTER: Gharra M 

PROVIDER: S-EPMC8943419 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature