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Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia

PURPOSE: To analyze the visual results of Descemet stripping automated endothelial keratoplasty (DSAEK) in the first consecutive 10 cases. MATERIALS AND METHODS: Retrospective, non-randomized, non-comparative interventional case series. Ten eyes of 10 patients with endothelial dysfunctions of differ...

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Autores principales: Hantera, Mohamed M., El Sayyed, Fady, Al Arfaj, Khalid M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339667/
https://www.ncbi.nlm.nih.gov/pubmed/22557870
http://dx.doi.org/10.4103/0974-620X.94720
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author Hantera, Mohamed M.
El Sayyed, Fady
Al Arfaj, Khalid M.
author_facet Hantera, Mohamed M.
El Sayyed, Fady
Al Arfaj, Khalid M.
author_sort Hantera, Mohamed M.
collection PubMed
description PURPOSE: To analyze the visual results of Descemet stripping automated endothelial keratoplasty (DSAEK) in the first consecutive 10 cases. MATERIALS AND METHODS: Retrospective, non-randomized, non-comparative interventional case series. Ten eyes of 10 patients with endothelial dysfunctions of different etiology, scheduled for DSEAK, were included in this study. Indications, operative problems, and postoperative complications were noted. Best-corrected visual acuity, refractive and keratometric astigmatism, and central corneal thickness were analyzed for each patient after a minimum follow-up of 10 months. RESULTS: In a median follow-up of 12 months (range 10–16 months), visual outcomes were satisfactory. Preoperative diagnosis included five eyes of psuedophakic bullous keratopathy and two eyes of repeated failed corneal grafts and one bullous keratopathy secondary to anterior chamber phakic IOL implantation. Two eyes with Fuchs dystrophy and cataract had combined DSAEK and phacoemulsification and IOL implantation. One patient had known glaucomatous optic nerve precluding vision better than 20/150. Of the remaining nine patients, four eyes had BSCVA of 20/40 or better by postoperative 6 months (3 by 3 months). The average pachymetry was 646.9 μm. One patient had total graft dislocation and one needed trabeculectomy. None of the patients developed graft rejection or graft failure. None of patients needed to convert to penetrating keratoplasty. CONCLUSION: DSAEK is safe and effective procedure in patients with endothelial dysfunctions with encouraging surgical and visual outcomes.
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spelling pubmed-33396672012-05-03 Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia Hantera, Mohamed M. El Sayyed, Fady Al Arfaj, Khalid M. Oman J Ophthalmol Original Article PURPOSE: To analyze the visual results of Descemet stripping automated endothelial keratoplasty (DSAEK) in the first consecutive 10 cases. MATERIALS AND METHODS: Retrospective, non-randomized, non-comparative interventional case series. Ten eyes of 10 patients with endothelial dysfunctions of different etiology, scheduled for DSEAK, were included in this study. Indications, operative problems, and postoperative complications were noted. Best-corrected visual acuity, refractive and keratometric astigmatism, and central corneal thickness were analyzed for each patient after a minimum follow-up of 10 months. RESULTS: In a median follow-up of 12 months (range 10–16 months), visual outcomes were satisfactory. Preoperative diagnosis included five eyes of psuedophakic bullous keratopathy and two eyes of repeated failed corneal grafts and one bullous keratopathy secondary to anterior chamber phakic IOL implantation. Two eyes with Fuchs dystrophy and cataract had combined DSAEK and phacoemulsification and IOL implantation. One patient had known glaucomatous optic nerve precluding vision better than 20/150. Of the remaining nine patients, four eyes had BSCVA of 20/40 or better by postoperative 6 months (3 by 3 months). The average pachymetry was 646.9 μm. One patient had total graft dislocation and one needed trabeculectomy. None of the patients developed graft rejection or graft failure. None of patients needed to convert to penetrating keratoplasty. CONCLUSION: DSAEK is safe and effective procedure in patients with endothelial dysfunctions with encouraging surgical and visual outcomes. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3339667/ /pubmed/22557870 http://dx.doi.org/10.4103/0974-620X.94720 Text en Copyright: © 2012 Hantera MM, et al http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Hantera, Mohamed M.
El Sayyed, Fady
Al Arfaj, Khalid M.
Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia
title Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia
title_full Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia
title_fullStr Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia
title_full_unstemmed Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia
title_short Initial experience with Descemet stripping automated endothelial keratoplasty in Saudi Arabia
title_sort initial experience with descemet stripping automated endothelial keratoplasty in saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339667/
https://www.ncbi.nlm.nih.gov/pubmed/22557870
http://dx.doi.org/10.4103/0974-620X.94720
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