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Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits

We describe an effective technique for the management of graft–host interface haze associated with interface deposits after Descemet-stripping automated endothelial keratoplasty (DSAEK) with bimanual irrigation/aspiration. A Tan marginal dissector was used to separate the graft from the stroma in th...

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Autores principales: Kymionis, George D, Voulgari, Nafsika, Kontadakis, George A, Mikropoulos, Dimitrios, Petrovic, Aleksandra, Droutsas, Konstantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951205/
https://www.ncbi.nlm.nih.gov/pubmed/31856502
http://dx.doi.org/10.4103/ijo.IJO_883_19
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author Kymionis, George D
Voulgari, Nafsika
Kontadakis, George A
Mikropoulos, Dimitrios
Petrovic, Aleksandra
Droutsas, Konstantinos
author_facet Kymionis, George D
Voulgari, Nafsika
Kontadakis, George A
Mikropoulos, Dimitrios
Petrovic, Aleksandra
Droutsas, Konstantinos
author_sort Kymionis, George D
collection PubMed
description We describe an effective technique for the management of graft–host interface haze associated with interface deposits after Descemet-stripping automated endothelial keratoplasty (DSAEK) with bimanual irrigation/aspiration. A Tan marginal dissector was used to separate the graft from the stroma in the nasal two-thirds of the graft–host interface. The aspiration handpiece was inserted in the interface through the nasal side-port corneal incision and a separate irrigation tip was placed in the anterior chamber (AC) through the temporal corneal paracentesis. Meticulous rinsing of the two-thirds of the interface area and the AC was performed. At the end of the procedure, air was injected into the AC to float the donor graft against the host stromal bed and facilitate graft adherence. Postoperative anterior segment optical coherence tomography and slit-lamp examination confirmed elimination of the interface haze–deposits and a well-attached graft. An improvement in visual acuity was noted.
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spelling pubmed-69512052020-01-16 Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits Kymionis, George D Voulgari, Nafsika Kontadakis, George A Mikropoulos, Dimitrios Petrovic, Aleksandra Droutsas, Konstantinos Indian J Ophthalmol Surgical Technique We describe an effective technique for the management of graft–host interface haze associated with interface deposits after Descemet-stripping automated endothelial keratoplasty (DSAEK) with bimanual irrigation/aspiration. A Tan marginal dissector was used to separate the graft from the stroma in the nasal two-thirds of the graft–host interface. The aspiration handpiece was inserted in the interface through the nasal side-port corneal incision and a separate irrigation tip was placed in the anterior chamber (AC) through the temporal corneal paracentesis. Meticulous rinsing of the two-thirds of the interface area and the AC was performed. At the end of the procedure, air was injected into the AC to float the donor graft against the host stromal bed and facilitate graft adherence. Postoperative anterior segment optical coherence tomography and slit-lamp examination confirmed elimination of the interface haze–deposits and a well-attached graft. An improvement in visual acuity was noted. Wolters Kluwer - Medknow 2020-01 2019-12-19 /pmc/articles/PMC6951205/ /pubmed/31856502 http://dx.doi.org/10.4103/ijo.IJO_883_19 Text en Copyright: © 2019 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Kymionis, George D
Voulgari, Nafsika
Kontadakis, George A
Mikropoulos, Dimitrios
Petrovic, Aleksandra
Droutsas, Konstantinos
Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits
title Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits
title_full Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits
title_fullStr Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits
title_full_unstemmed Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits
title_short Surgical management of post-Descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits
title_sort surgical management of post-descemet stripping automated endothelial keratoplasty interface haze associated with interface deposits
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951205/
https://www.ncbi.nlm.nih.gov/pubmed/31856502
http://dx.doi.org/10.4103/ijo.IJO_883_19
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