Descemet stripping automated endothelial keratoplasty in complex eyes: results with a donor insertion device.

摘要: PURPOSE Descemet stripping automated endothelial keratoplasty (DSAEK) in eyes with complex anterior segment pathology or previous intraocular surgery is at risk of surgical complications and graft failure. We evaluated the use EndoGlide donor insertion device for DSAEK these cases. METHODS This was a retrospective interventional series 45 consecutive dysfunction higher ocular comorbidities that underwent EndoGlide. included aphakia, glaucoma surgery, prior vitrectomy, chamber lenses, failed cornea grafts, primary angle closure glaucoma. Demographic clinical details, intraoperative postoperative complications, clarity, cell density (ECD) loss were documented. RESULTS The average age 62 years (range, 16-88 years), majority Chinese (n = 28). commonest factors identified trabeculectomy 13) penetrating 12). Preoperative ECD averaged 2790 ± 230 cells per square millimeter modal diameter 9.0 mm 7.75-9.75 mm). One eye (2.2%) had failure, 3 (6.7%) dislocation. Another suffered late failure within first year 2 an lenses. At 6 months, mean 2363 + 242 cells/mm2 17.9% 16). By 12 2098 462 27.0% 20). CONCLUSIONS Donor this can help address inherent challenges minimize damage during