Descemet Stripping Automated Endothelial Keratoplasty With a Retention Suture: Description of a Technique for Patients at High Risk of Graft Detachment.

摘要: Purpose To evaluate the utility, safety, and efficacy of a parallel or cloverleaf retention suture in Descemet stripping automated endothelial keratoplasty that does not penetrate donor tissue can be removed at slit lamp for patients high risk graft detachment. Methods Data were prospectively collected over 9 years from who received suture. Indications use included difficulty with postoperative positioning, abnormal intraocular anatomy including glaucoma tube shunts, trabeculectomies, anterior chamber lens implants, previous vitrectomy, aniridia, aphakia, history Results Of 128 surgeries, 12 (9.4%) required additional intervention reattachment (rebubble). Overall, 120 grafts (93.8%) remained clear attached either after surgery rebubble procedures. Mean cell density 1 year was 1840 cells/mm, mean loss 37.3%. Conclusions A conjunction seems to reduce detachment high-risk patients, while maintaining adequate clarity year.